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Physician Compare National (NPI:1861582298)

HEALTHCARE PROVIDER: BARBARA CACIOLO MD

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

Individual Professional Information

NPI 1861582298
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3476747809
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101029001159
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CACIOLO
Individual professional last name
Provider First Name BARBARA
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1985
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 RHEUMATOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties RHEUMATOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 3185 HAMPTON AVE
Group Practice or individual's line 1 address
City SAINT LOUIS
Group Practice or individual's city
State MO
Group Practice or individual's state
Zip Code 631392338
Group Practice or individual's zip code (9 digits when available)
Phone Number 3146444411
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 260020
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MERCY HOSPITAL ST LOUIS
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 260077
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 ST ANTHONY'S MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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