Physician Compare National (NPI:1720121213)

HEALTHCARE PROVIDER: ROBERT SANTIAGO 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	1720121213
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890989479
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101027001021
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANTIAGO
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	396 PORTLAND N WAY
	Group Practice or individual's line 1 address
City	GALION
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	448331115
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360068
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROMEDICA TOLEDO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	361325
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GALION COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360118
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OHIOHEALTH MANSFIELD HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y