Physician Compare National (NPI:1447293204)

HEALTHCARE PROVIDER: AMANDA MESZAROS 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	1447293204
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981608288
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060829000076
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MESZAROS
	Individual professional last name
Provider First Name	AMANDA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	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	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2003
	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	60 S PLEASANT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	OBERLIN
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	440741683
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4407741100
	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	360145
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360172
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y