Physician Compare National (NPI:1710904719)

HEALTHCARE PROVIDER: ANTHONY MANOCCHIO 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	1710904719
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284548728
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031118000607
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANOCCHIO
	Individual professional last name
Provider First Name	ANTHONY
	Individual professional first name
Provider Middle Name	R
	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	OTHER
	Individual professional's medical school
Graduation Year	1965
	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	1524 ATWOOD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 442
	Group Practice or individual's line 2 address
City	JOHNSTON
	Group Practice or individual's city
State	RI
	Group Practice or individual's state
Zip Code	029193228
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4012731666
	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	410005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OUR LADY OF FATIMA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	410012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE MIRIAM HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y