Physician Compare National (NPI:1376862391)

HEALTHCARE PROVIDER: TORITSENERE B ONOSODE 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	1376862391
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234395732
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131113001299
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ONOSODE
	Individual professional last name
Provider First Name	TORITSENERE
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2009
	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	3140 LEGACY DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300
	Group Practice or individual's line 2 address
City	FRISCO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750349566
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450462
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450651
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y