Physician Compare National (NPI:1518953041)

HEALTHCARE PROVIDER: PETER NIEMCZYK 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	1518953041
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719876457
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060109000432
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NIEMCZYK
	Individual professional last name
Provider First Name	PETER
	Individual professional first 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	OTHER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9250 N 3RD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2007
	Group Practice or individual's line 2 address
City	PHOENIX
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	850202404
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030043
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CANYON VISTA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	031312
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COPPER QUEEN COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	030062
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	031314
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COBRE VALLEY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y