Physician Compare National (NPI:1528355179)

HEALTHCARE PROVIDER: JOSEPH EDWARD POPPER 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	1528355179
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193957702
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170712003329
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	POPPER
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	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
Organization Legal Name	MOHAWK VALLEY ORTHOPEDICS, P.C.
	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	8921191172
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5010 STATE HWY 30
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	AMSTERDAM
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	120107532
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5188422663
	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	330276
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NATHAN LITTAUER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330047
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST MARY'S HEALTHCARE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y