Physician Compare National (NPI:1730173840)

HEALTHCARE PROVIDER: RONALD JAMES HAUDENSCHILT 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	1730173840
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789717752
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100728000950
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAUDENSCHILT
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5770 KARL RD
	Group Practice or individual's line 1 address
City	COLUMBUS
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	432293604
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RIVERSIDE METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360035
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MOUNT CARMEL WEST
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360012
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MOUNT CARMEL ST ANN'S
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360017
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GRANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360085
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	OHIO STATE UNIVERSITY STATE HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1730173840)

HEALTHCARE PROVIDER: RONALD JAMES HAUDENSCHILT MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information