Physician Compare National (NPI:1740285204)

HEALTHCARE PROVIDER: DAVID THOMAS GRECO 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	1740285204
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133279813
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090618000496
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRECO
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WESTERN CONNECTICUT MEDICAL GROUP INC
	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	4789597691
	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	585
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	69 SAND PIT RD
	Group Practice or individual's line 1 address
City	DANBURY
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068104004
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2037482551
	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	070033
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DANBURY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070016
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT MARYS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y