Physician Compare National (NPI:1609009778)

HEALTHCARE PROVIDER: MONZER SAAD D.O

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

Individual Professional Information
NPI	1609009778
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406000215
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161228001254
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAAD
	Individual professional last name
Provider First Name	MONZER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MID-STATE PHYSICIANS LLP
	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	9032375878
	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	33
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	55 HOSPITAL DR
	Group Practice or individual's line 1 address
City	ATHENS
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	457012302
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7405935551
	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	360009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LIMA MEMORIAL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360032
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GRAND LAKE HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360071
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	VAN WERT COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360095
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BLANCHARD VALLEY REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360013
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WILSON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1609009778)

HEALTHCARE PROVIDER: MONZER SAAD D.O

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information