Physician Compare National (NPI:1568618544)

HEALTHCARE PROVIDER: TIMOTHY MARK BIAGINI 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	1568618544
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951547512
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130426000444
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BIAGINI
	Individual professional last name
Provider First Name	TIMOTHY
	Individual professional first name
Provider Middle Name	MARK
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5 DOCTORS LN
	Group Practice or individual's line 1 address
City	MACOMB
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	614553369
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140089
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MC DONOUGH DISTRICT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	141305
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	160008
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KEOKUK AREA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y