Physician Compare National (NPI:1396181137)

HEALTHCARE PROVIDER: MARK WILLIAM BEYER D.O

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

Individual Professional Information
NPI	1396181137
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375774326
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140718002054
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEYER
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	WILLIAM
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	11 FRIENDS LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101A
	Group Practice or individual's line 2 address
City	NEWTOWN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	189401885
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAPITAL HEALTH MEDICAL CENTER - HOPEWELL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310110
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y