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Physician Compare National (NPI:1881652287)

HEALTHCARE PROVIDER: JOHN RICHARD DYLEWSKI M.D.

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

Individual Professional Information

NPI 1881652287
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1759278997
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101103001414
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DYLEWSKI
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name RICHARD
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1991
Individual professional's medical school graduation year
Primary Specialty CARDIAC ELECTROPHYSIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 CARDIOVASCULAR DISEASE (CARDIOLOGY)
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties CARDIOVASCULAR DISEASE (CARDIOLOGY)
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 6419 BIRD RD
Group Practice or individual's line 1 address
City MIAMI
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 331554827
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 100181
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LARKIN COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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