Physician Compare National (NPI:1881760072)

HEALTHCARE PROVIDER: YUSUF A MOSURO 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	1881760072
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587642228
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190521001705
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOSURO
	Individual professional last name
Provider First Name	YUSUF
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	1989
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CENTER FOR PAIN MANAGEMENT, LLC
	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	0547246555
	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	56
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	940 SETON DR
	Group Practice or individual's line 1 address
City	CUMBERLAND
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	215021818
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3017772543
	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	210027
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WESTERN MARYLAND REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	511315
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	POTOMAC VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	511311
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HAMPSHIRE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y