Physician Compare National (NPI:1669633186)

HEALTHCARE PROVIDER: NORA ELIZABETH TABORI 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	1669633186
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951628478
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180626000548
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCDERMOTT-TABORI
	Individual professional last name
Provider First Name	NORA
	Individual professional first name
Provider Middle Name	ELIZABETH
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DIAGNOSTIC RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DIAGNOSTIC RADIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MEDSTAR MEDICAL GROUP RADIOLOGY LLC
	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	1557589157
	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	134
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	25500 POINT LOOKOUT RD
	Group Practice or individual's line 1 address
City	LEONARDTOWN
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	206502015
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3014756106
	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	090011
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDSTAR WASHINGTON HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y