Physician Compare National (NPI:1821253386)

HEALTHCARE PROVIDER: JEAN PAUL HAULARD D.P.M.

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

Individual Professional Information
NPI	1821253386
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557534955
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120511000222
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAULARD
	Individual professional last name
Provider First Name	JEAN
	Individual professional first name
Provider Middle Name	PAUL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1301 SAINT LUKE DR
	Group Practice or individual's line 1 address
City	SPENCER
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	513016043
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7122625931
	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	161351
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AVERA HOLY FAMILY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	161357
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PALO ALTO COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y