Physician Compare National (NPI:1699872234)

HEALTHCARE PROVIDER: HARRIS DAVID SLAVICK 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	1699872234
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547246258
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110812000562
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SLAVICK
	Individual professional last name
Provider First Name	HARRIS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1317 S MAIN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2A
	Group Practice or individual's line 2 address
City	VINELAND
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	083606511
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INSPIRA MEDICAL CENTER VINELAND
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310069
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INSPIRA MEDICAL CENTER ELMER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310064
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ATLANTICARE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y