Physician Compare National (NPI:1881762714)

HEALTHCARE PROVIDER: TOBIN M SCHNEIDER 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	1881762714
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921295478
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101209000331
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHNEIDER
	Individual professional last name
Provider First Name	TOBIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	COLORECTAL SURGERY (PROCTOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	COLORECTAL SURGERY (PROCTOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	101 S SAN MATEO DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	SAN MATEO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	944013840
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6503421414
	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	050007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PENINSULA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050197
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SEQUOIA HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y