Physician Compare National (NPI:1609891886)

HEALTHCARE PROVIDER: JOSEPH RYAN TREADWELL DPM

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

Individual Professional Information
NPI	1609891886
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557457546
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091125000289
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TREADWELL
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FOOT AND ANKLE SPECIALISTS OF CONNECTICUT , PC
	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	8022104017
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6 GERMANTOWN RD
	Group Practice or individual's line 1 address
City	DANBURY
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068105027
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2037482220
	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	070035
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE HOSPITAL OF CENTRAL CONNECTICUT
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y