Physician Compare National (NPI:1881769917)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1881769917
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123177748
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090601000145
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MELTZER
	Individual professional last name
Provider First Name	BARNET
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL PRACTICE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PREVENTATIVE MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL PRACTICE, PREVENTATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1011 CAMINO DEL MAR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 234
	Group Practice or individual's line 2 address
City	DEL MAR
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	920142655
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M