Physician Compare National (NPI:1447213046)

HEALTHCARE PROVIDER: PHILIP DONALD FLEEKOP 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	1447213046
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002813961
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061107000248
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FLEEKOP
	Individual professional last name
Provider First Name	PHILIP
	Individual professional first name
Provider Middle Name	DONALD
	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	EMORY UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2300 COMPUTER RD
	Group Practice or individual's line 1 address
Line 2 Street Address	M66
	Group Practice or individual's line 2 address
City	WILLOW GROVE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190901745
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y