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Physician Compare National (NPI:1821230798)

HEALTHCARE PROVIDER: JEFFREY CHARLES SCHILDHORN 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 1821230798
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2668641119
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130329000054
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SCHILDHORN
Individual professional last name
Provider First Name JEFFREY
Individual professional first name
Provider Middle Name CHARLES
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2005
Individual professional's medical school graduation year
Primary Specialty ORTHOPEDIC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 521 PARK AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1
Group Practice or individual's line 2 address
City NEW YORK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 100658140
Group Practice or individual's zip code (9 digits when available)
Phone Number 2129801375
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 330119
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LENOX HILL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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