Physician Compare National (NPI:1598083024)

HEALTHCARE PROVIDER: MARK SABAH TOMA 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	1598083024
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032420534
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150625000461
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TOMA
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DANNY KEWSON M.D. P.C
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9436139425
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7330 N CANTON CTR RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 109
	Group Practice or individual's line 2 address
City	CANTON
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481871538
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7343868000
	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	230020
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BEAUMONT HOSPITAL - DEARBORN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230142
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BEAUMONT HOSPITAL - WAYNE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230130
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BEAUMONT HOSPITAL, ROYAL OAK
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y