Physician Compare National (NPI:1568409944)

HEALTHCARE PROVIDER: CRAIG B. DANSHAW D.O.

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

Individual Professional Information
NPI	1568409944
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204875222
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110127000061
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DANSHAW
	Individual professional last name
Provider First Name	CRAIG
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4100 INTERNATIONAL PLZ
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 600
	Group Practice or individual's line 2 address
City	FORT WORTH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	761094823
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450880
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SURGICAL HOSPITAL AT FORT WORTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y