Physician Compare National (NPI:1619120557)

HEALTHCARE PROVIDER: KINGSLEY APPAW ASARE DO

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

Individual Professional Information
NPI	1619120557
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072793421
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130830000162
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ASARE
	Individual professional last name
Provider First Name	KINGSLEY
	Individual professional first name
Provider Middle Name	A
	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	2007
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	OSTEOPATHIC MANIPULATIVE MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE, OSTEOPATHIC MANIPULATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	9555 SEMINOLE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	SEMINOLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	337722524
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100127
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MORTON PLANT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M