Physician Compare National (NPI:1386668788)

HEALTHCARE PROVIDER: EDGAR H NIETER JR. 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	1386668788
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416039821
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100719000662
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NIETER
	Individual professional last name
Provider First Name	EDGAR
	Individual professional first 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	1990
	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	1661 E ATLANTIC BLVD
	Group Practice or individual's line 1 address
City	POMPANO BEACH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	330606750
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y