Physician Compare National (NPI:1689661928)

HEALTHCARE PROVIDER: JOSE S PICAZO 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	1689661928
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264691187
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120315000129
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PICAZO
	Individual professional last name
Provider First Name	JOSE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	600 CHRISTIANA MEDICAL CTR
	Group Practice or individual's line 1 address
City	NEWARK
	Group Practice or individual's city
State	DE
	Group Practice or individual's state
Zip Code	197021656
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	080001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHRISTIANA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y