Physician Compare National (NPI:1477661510)

HEALTHCARE PROVIDER: DANIEL REYNOLDS CHILTON 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	1477661510
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133395809
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111229000705
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHILTON
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	REYNOLDS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	259 ALBANY TPKE
	Group Practice or individual's line 1 address
City	CANTON
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	060192557
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8606934307
	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	070011
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHARLOTTE HUNGERFORD HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST FRANCIS HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y