Physician Compare National (NPI:1609819630)

HEALTHCARE PROVIDER: THOMAS O. STODGEL 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	1609819630
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830359199
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120322000679
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STODGEL
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Middle Name	OLIVER
	Individual professional middle name
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	1987
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1820 OGDEN DR
	Group Practice or individual's line 1 address
Line 2 Street Address	FL 2
	Group Practice or individual's line 2 address
City	BURLINGAME
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	940105384
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6503447799
	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	050007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PENINSULA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y