Physician Compare National (NPI:1497765705)

HEALTHCARE PROVIDER: LOUIS JAMES SADDLER 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	1497765705
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294716015
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060915000558
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SADDLER
	Individual professional last name
Provider First Name	LOUIS
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	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	101 LEXINGTON DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	MADISON
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	391106986
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250038
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERIT HEALTH MADISON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250048
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST DOMINIC-JACKSON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y