Physician Compare National (NPI:1841304102)

HEALTHCARE PROVIDER: TIMOTHY P DRANKWALTER 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	1841304102
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355339367
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100518000281
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DRANKWALTER
	Individual professional last name
Provider First Name	TIMOTHY
	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	OTHER
	Individual professional's medical school
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DISEASES OF THE EARS, NOSE AND THROAT, INC
	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	8820022445
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	600 TAYLOR STATION RD
	Group Practice or individual's line 1 address
City	GAHANNA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	432306293
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6147598811
	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	360170
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BERGER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RIVERSIDE METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360035
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MOUNT CARMEL WEST
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360017
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GRANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	M