Physician Compare National (NPI:1518321678)

HEALTHCARE PROVIDER: ANAND DAVE 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	1518321678
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183910318
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191030001187
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAVE
	Individual professional last name
Provider First Name	ANAND
	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	2016
	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
Organization Legal Name	HYPERBARIC AND WOUNDCARE INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1052311560
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	20
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	163 S TALLAHASSEE ST
	Group Practice or individual's line 1 address
City	HAZLEHURST
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	315396465
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9123757781
	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	111333
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JEFF DAVIS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110071
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	APPLING HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110089
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COFFEE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y