Physician Compare National (NPI:1447279906)

HEALTHCARE PROVIDER: JUDITH ELLEN STEINBERG 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	1447279906
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618002510
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100317000642
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STEINBERG
	Individual professional last name
Provider First Name	JUDITH
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5138 SHELBURNE RD
	Group Practice or individual's line 1 address
City	SHELBURNE
	Group Practice or individual's city
State	VT
	Group Practice or individual's state
Zip Code	054826698
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8029852585
	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	470003
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	471307
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PORTER HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M