Physician Compare National (NPI:1366596348)

HEALTHCARE PROVIDER: CHRISTOPHER SCOTT SEUFERLING DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366596348
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476580226
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050722000634
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEUFERLING
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	52485 SW 1ST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SCAPPOOSE PODIATRY
	Group Practice or individual's line 2 address
City	SCAPPOOSE
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	970563531
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380061
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE PORTLAND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y