Individual Professional Information |
|
NPI
|
1710989470
|
|
Unique healthcare provider (clinician) ID assigned by NPPES
|
|
PECOS UID
|
8426151960
|
|
Unique individual clinician ID assigned by PECOS
|
|
Professional Enrollment ID
|
I20071011000181
|
|
Unique ID for the individual professional enrollment that is the source for the data in the observation
|
|
Provider Last Name
|
SCHILLER
|
|
Individual professional last name
|
|
Provider First Name
|
JEFFREY
|
|
Individual professional first name
|
|
Provider Middle Name
|
D
|
|
Individual professional middle name
|
|
Provider Gender
|
M
|
|
The provider's gender if the provider is a person.
|
Medical School Information |
|
Medical School Name
|
OTHER
|
|
Individual professional's medical school
|
|
Graduation Year
|
1979
|
|
Individual professional's medical school graduation year
|
|
Primary Specialty
|
OPHTHALMOLOGY
|
|
Primary medical specialty reported by the individual professional in the selected enrollment
|
|
Secondary Specialty 1
|
PLASTIC AND RECONSTRUCTIVE SURGERY
|
|
First secondary medical specialty reported by the individual professional in the selected enrollment
|
|
All Secondary Specialties
|
PLASTIC AND RECONSTRUCTIVE SURGERY
|
|
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas
|