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Physician Compare National (NPI:1831576131)

HEALTHCARE PROVIDER: ALEXANDER DAVES D.O.

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

Individual Professional Information

NPI 1831576131
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0345534574
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180131001738
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DAVES
Individual professional last name
Provider First Name ALEXANDER
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Individual professional's medical school
Graduation Year 2015
Individual professional's medical school graduation year
Primary Specialty EMERGENCY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name METROHEALTH SYSTEM
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8628982949
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 915
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2500 METROHEALTH DR
Group Practice or individual's line 1 address
City CLEVELAND
Group Practice or individual's city
State OH
Group Practice or individual's state
Zip Code 441091900
Group Practice or individual's zip code (9 digits when available)
Phone Number 2167787800
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 290047
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 360059
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 METROHEALTH SYSTEM
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 360185
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 SALEM REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 290039
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 MOUNTAINVIEW HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 290003
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 SUNRISE HOSPITAL AND MEDICAL CENTER
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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