Physician Compare National (NPI:1386750818)

HEALTHCARE PROVIDER: JAFFREY HASHIMIE 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	1386750818
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810157765
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120329000717
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HASHIMIE
	Individual professional last name
Provider First Name	JAFFREY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BAYCARE BEHAVIORAL HEALTH ASSOCIATES, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2567624836
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	40
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4211 VAN DYKE RD
	Group Practice or individual's line 1 address
City	LUTZ
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	335588005
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7275321355
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100127
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MORTON PLANT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y