Physician Compare National (NPI:1639336472)

HEALTHCARE PROVIDER: DAVID MICHAEL WEINGARTEN MD

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

Individual Professional Information
NPI	1639336472
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365752912
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151110002591
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEINGARTEN
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	202 HILTON RD
	Group Practice or individual's line 1 address
City	TAMUNING
	Group Practice or individual's city
State	GU
	Group Practice or individual's state
Zip Code	969134097
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	650003
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GUAM REGIONAL MEDICAL CITY
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y