Physician Compare National (NPI:1700860889)

HEALTHCARE PROVIDER: MICHAEL A JAINDL 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	1700860889
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901873587
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110627000478
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JAINDL
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Name Suffix Text	SR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1530 LEE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2350
	Group Practice or individual's line 2 address
City	LEHIGH ACRES
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	339364851
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100107
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEHIGH REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100220
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100244
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CAPE CORAL HOSPITAL - 100244
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y