Physician Compare National (NPI:1639150733)

HEALTHCARE PROVIDER: DR. HENRY A FRISSORA

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

Individual Professional Information
NPI	1639150733
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143268748
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050425000023
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRISSORA
	Individual professional last name
Provider First Name	HENRY
	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.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	83 HERRICK ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3001
	Group Practice or individual's line 2 address
City	BEVERLY
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	019152757
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9789277556
	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	220033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHEST HOSPITAL CORPORATION
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y