Physician Compare National (NPI:1699985911)

HEALTHCARE PROVIDER: FRED OVSIEW 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	1699985911
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163416488
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040412000119
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OVSIEW
	Individual professional last name
Provider First Name	FRED
	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.
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	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROPSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROPSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	600 N MCCLURG CT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 4411
	Group Practice or individual's line 2 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606116937
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3126435522
	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	140281
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHWESTERN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M