Physician Compare National (NPI:1558527770)

HEALTHCARE PROVIDER: JOE FAHED 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	1558527770
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254603855
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170816003517
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FAHED
	Individual professional last name
Provider First Name	JOE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC ELECTROPHYSIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	WILLOWBROOK CARDIOVASCULAR ASSOCIATES, P.A.
	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	4789586405
	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	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6560 FANNIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 620
	Group Practice or individual's line 2 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770302725
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7137911978
	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	450358
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOUSTON METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450775
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KINGWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450844
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOUSTON METHODIST WILLOWBROOK HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y