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Physician Compare National (NPI:1629397393)

HEALTHCARE PROVIDER: ZIAD ALNABKI 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 1629397393
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2365616208
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20170721002690
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ALNABKI
Individual professional last name
Provider First Name ZIAD
Individual professional first 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 2009
Individual professional's medical school graduation year
Primary Specialty INTERVENTIONAL CARDIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 CARDIOVASCULAR DISEASE (CARDIOLOGY)
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY)
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name FIRST COAST CARDIOVASCULAR INSTITUTE PA
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 6002803020
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 31
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 205 ZEAGLER DR
Group Practice or individual's line 1 address
City PALATKA
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 321773888
Group Practice or individual's zip code (9 digits when available)
Phone Number 3863252836
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 100232
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 PUTNAM COMMUNITY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 100226
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ORANGE PARK MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 180044
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 PIKEVILLE MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 100090
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 FLAGLER HOSPITAL
Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment Y

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