Physician Compare National (NPI:1427086933)

HEALTHCARE PROVIDER: PAUL FAUD NASSAB 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	1427086933
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840293924
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060825000196
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NASSAB
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	BOSTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SELECT PHYSICAL THERAPY HOLDINGS, 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	9537076401
	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	184
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6264 LEWIS DR
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	PARKVILLE
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	641523603
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8165878001
	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	260095
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CENTERPOINT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260096
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTH KANSAS CITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y