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Physician Compare National (NPI:1538265814)

HEALTHCARE PROVIDER: STEPHEN MICHAEL MECHANICK M.D.

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

Individual Professional Information

NPI 1538265814
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5496702375
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050404000019
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MECHANICK
Individual professional last name
Provider First Name STEPHEN
Individual professional first name
Provider Middle Name M
Individual professional middle 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 PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Individual professional's medical school
Graduation Year 1982
Individual professional's medical school graduation year
Primary Specialty PSYCHIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 14 ELLIOTT AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 6
Group Practice or individual's line 2 address
City BRYN MAWR
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 190103412
Group Practice or individual's zip code (9 digits when available)
Phone Number 6105261780
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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