Physician Compare National (NPI:1508896259)

HEALTHCARE PROVIDER: STEPHEN DAVID TAUS 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	1508896259
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325237449
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110105000710
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TAUS
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1970
	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	1366 W 7TH ST
	Group Practice or individual's line 1 address
City	SAN PEDRO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	907323500
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y