Physician Compare National (NPI:1528441052)

HEALTHCARE PROVIDER: ELI SCHNED

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1528441052
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082903570
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200730000921
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHNED
	Individual professional last name
Provider First Name	ELI
	Individual professional first name
Provider Middle Name	Z
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTHWESTERN MEDICAL CENTER 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	5496714313
	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	90
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	133 FAIRFIELD ST
	Group Practice or individual's line 1 address
City	SAINT ALBANS
	Group Practice or individual's city
State	VT
	Group Practice or individual's state
Zip Code	054781726
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MIDSTATE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070035
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE HOSPITAL OF CENTRAL CONNECTICUT
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360086
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SPRINGFIELD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	361312
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MERCY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y