Physician Compare National (NPI:1740221423)

HEALTHCARE PROVIDER: JOHN PASSIAS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740221423
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345133351
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040204000450
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PASSIAS
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	II
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	1988
	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
Organization Legal Name	OHIOHEALTH CORPORATION
	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	6305758426
	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	1378
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	393 E TOWN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 116
	Group Practice or individual's line 2 address
City	COLUMBUS
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	432154799
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6145669108
	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	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	360247
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WOODS AT PARKSIDE,THE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360017
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GRANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360358
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	DILEY RIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y