Physician Compare National (NPI:1730446766)

HEALTHCARE PROVIDER: MAUREEN MEGAN D'ANGELO 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	1730446766
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779804992
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200805003139
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	D ANGELO
	Individual professional last name
Provider First Name	MAUREEN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NEW CENTURY PHYSICIANS OF NEBRASKA LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3173429537
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	22
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	16901 LAKESIDE HILLS CT
	Group Practice or individual's line 1 address
City	OMAHA
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	681302318
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4027178000
	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	280130
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI HEALTH LAKESIDE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	520076
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BEAVER DAM COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140228
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SWEDISH AMERICAN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140053
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST JOHNS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y