Physician Compare National (NPI:1568443869)

HEALTHCARE PROVIDER: PETER J ISAAC DO

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

Individual Professional Information
NPI	1568443869
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173503117
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040916000314
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ISAAC
	Individual professional last name
Provider First Name	PETER
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	VASCULAR SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1605 N CEDAR CREST BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 609
	Group Practice or individual's line 2 address
City	ALLENTOWN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	181042351
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390133
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEHIGH VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST LUKE'S HOSPITAL BETHLEHEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390197
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SACRED HEART HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y