Physician Compare National (NPI:1588721211)

HEALTHCARE PROVIDER: FREDERICK D. TODD II 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	1588721211
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113188137
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120510000066
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TODD
	Individual professional last name
Provider First Name	FREDERICK
	Individual professional first name
Provider Middle Name	DOUGLAS
	Individual professional middle name
Provider Name Suffix Text	II
	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	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4927 S COLLINS
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	ARLINGTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	760181160
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450872
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	U S M D HOSPITAL AT ARLINGTON L P
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y