Physician Compare National (NPI:1467529826)

HEALTHCARE PROVIDER: JONATHAN MICHAEL LEVIN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1467529826
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355405911
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120517000306
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEVIN
	Individual professional last name
Provider First Name	JONATHON
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	VASCULAR SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	165 ROWLAND WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 312
	Group Practice or individual's line 2 address
City	NOVATO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	949455059
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4158986190
	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	050360
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARIN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050131
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NOVATO COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y