Physician Compare National (NPI:1801805734)

HEALTHCARE PROVIDER: ARISTIDES ZACHAROUDIS 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	1801805734
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052453677
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100120000676
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZACHAROUDIS
	Individual professional last name
Provider First Name	ARISTIDES
	Individual professional first 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	1986
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5333 N DIXIE HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	OAKLAND PARK
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	333343454
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100073
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOLY CROSS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100200
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BROWARD HEALTH IMPERIAL POINT
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y