Physician Compare National (NPI:1811981947)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1811981947
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082763958
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090526000053
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AGUILLON
	Individual professional last name
Provider First Name	LODOVICO
	Individual professional first name
Provider Middle Name	S
	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	1969
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1850 EASTGATE RD B
	Group Practice or individual's line 1 address
City	TOLEDO
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	436143024
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4193823471
	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	360262
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY ST ANNE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360068
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROMEDICA TOLEDO HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360081
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY ST CHARLES HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y