Physician Compare National (NPI:1568525160)

HEALTHCARE PROVIDER: THOMAS PRICE MD

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

Individual Professional Information
NPI	1568525160
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315185741
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130524000294
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRICE
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	105 STEVENS AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 603
	Group Practice or individual's line 2 address
City	MOUNT VERNON
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	105502683
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9146644052
	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	330086
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MONTEFIORE MOUNT VERNON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330184
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MONTEFIORE NEW ROCHELLE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y