Physician Compare National (NPI:1376586735)

HEALTHCARE PROVIDER: JUAN CARLOS GARCIA M.D.

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

Individual Professional Information
NPI	1376586735
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557268505
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040312000723
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARCIA
	Individual professional last name
Provider First Name	JUAN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	15 E WASHINGTON ST
	Group Practice or individual's line 1 address
City	GLENS FALLS
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	128013065
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330222
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SARATOGA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330191
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GLENS FALLS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y