Physician Compare National (NPI:1497739171)

HEALTHCARE PROVIDER: JOHN DAVID KURUC 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	1497739171
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678624970
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100618000232
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KURUC
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	DAVID
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	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	924 3RD ST
	Group Practice or individual's line 1 address
City	BRILLIANT
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	439131049
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7405983532
	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	360211
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	510023
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WEIRTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y