Physician Compare National (NPI:1861407512)

HEALTHCARE PROVIDER: AMIN AFSARI DO

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

Individual Professional Information
NPI	1861407512
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325046600
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081013000074
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AFSARI
	Individual professional last name
Provider First Name	AMIN
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	HAND SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ORTHOPEDIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ORTHOPEDIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ORTHOPEDIC SURGEONS OF WISCONSIN, S.C.
	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	5294727152
	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	35
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3077 N MAYFAIR RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	WAUWATOSA
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	532224305
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4143846700
	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	520136
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WHEATON FRANCISCAN ST JOSEPH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	520205
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	520078
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WHEATON FRANCISCAN HEALTHCARE ST FRANCIS
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y