Physician Compare National (NPI:1528063211)

HEALTHCARE PROVIDER: JOHN H. CHROSTOWSKI 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	1528063211
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557451952
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111114000338
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHROSTOWSKI
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2158 NORTHGATE PARK LANE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	CHATTANOOGA
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	37415
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HEALTHCARE SYSTEM, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	441310
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RHEA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y