Physician Compare National (NPI:1396830915)

HEALTHCARE PROVIDER: MOHAMMAD JARBOU MD

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

Individual Professional Information
NPI	1396830915
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385703578
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081103000378
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JARBOU
	Individual professional last name
Provider First Name	MOHAMMAD
	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	2000
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PULMONARY DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PULMONARY DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1601 E BROADWAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 160
	Group Practice or individual's line 2 address
City	COLUMBIA
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	652015821
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	260011
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260068
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BOONE HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260025
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HANNIBAL REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	260141
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	UNIVERSITY OF MISSOURI HOSPITAL & CLINICS
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	260064
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1396830915)

HEALTHCARE PROVIDER: MOHAMMAD JARBOU MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information