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Physician Compare National (NPI:1386893055)

HEALTHCARE PROVIDER: JORDAN MOSSLER ANAOKAR 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 1386893055
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2961641667
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20151223000221
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ANAOKAR
Individual professional last name
Provider First Name JORDAN
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Individual professional's medical school
Graduation Year 2008
Individual professional's medical school graduation year
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name FOX CHASE CANCER CENTER MEDICAL GROUP, INC
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 8123289550
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 216
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 333 COTTMAN AVE
Group Practice or individual's line 1 address
Line 2 Street Address RAD ASSOC OF FCCC MGI
Group Practice or individual's line 2 address
City PHILADELPHIA
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 191112434
Group Practice or individual's zip code (9 digits when available)
Phone Number 2157228609
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 390196
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HOSPITAL OF THE FOX CHASE CANCER CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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