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Physician Compare National (NPI:1497968903)

HEALTHCARE PROVIDER: BADIE AL NEMR 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 1497968903
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4082702303
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20071119000700
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name AL NEMR
Individual professional last name
Provider First Name BADIE
Individual professional first 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 2000
Individual professional's medical school graduation year
Primary Specialty INFECTIOUS DISEASE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 4316 DRESSLER RD NW
Group Practice or individual's line 1 address
City CANTON
Group Practice or individual's city
State OH
Group Practice or individual's state
Zip Code 447182752
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 360084
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 AULTMAN HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 360070
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 MERCY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 360020
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 SUMMA HEALTH SYSTEM
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 360131
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 ALLIANCE COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 360010
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 UNION HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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