Physician Compare National (NPI:1578552907)

HEALTHCARE PROVIDER: JOSEPH C DALEY III 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	1578552907
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557353513
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040331000501
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DALEY
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Name Suffix Text	III
	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.
Provider Credential Text	MD
	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	PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PULMONARY DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PULMONARY DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1031 SE 9TH PL
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 2
	Group Practice or individual's line 2 address
City	CAPE CORAL
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	339903003
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100244
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAPE CORAL HOSPITAL - 100244
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100220
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100012
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LEE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y