Physician Compare National (NPI:1497725709)

HEALTHCARE PROVIDER: JOHN N RICCARDO DO

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

Individual Professional Information
NPI	1497725709
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224097209
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041014000175
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RICCARDO
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	NICHOLAS
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2001
	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	797 E LANCASTER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 17
	Group Practice or individual's line 2 address
City	DOWNINGTOWN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	193353315
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390076
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BRANDYWINE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390179
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHESTER COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390153
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PAOLI HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390100
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LANCASTER GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y