Physician Compare National (NPI:1780770255)

HEALTHCARE PROVIDER: BELARMINO T FROGOZO 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	1780770255
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628136454
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081023000551
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FROGOZO
	Individual professional last name
Provider First Name	BELARMINO
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	501 E HOSPITAL LN
	Group Practice or individual's line 1 address
Line 2 Street Address	107 BELARMINO T FROGOZO MD
	Group Practice or individual's line 2 address
City	TERRE HAUTE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	478024230
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8122323100
	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	150046
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TERRE HAUTE REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y