Physician Compare National (NPI:1417247834)

HEALTHCARE PROVIDER: KYLE SAMUEL SCHOLNICK 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	1417247834
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365661287
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140908002057
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHOLNICK
	Individual professional last name
Provider First Name	KYLE
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	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	10875 MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 212
	Group Practice or individual's line 2 address
City	FAIRFAX
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	220304732
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y