Physician Compare National (NPI:1891723953)

HEALTHCARE PROVIDER: JEFFREY CHIMAHOSKY D.O.

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

Individual Professional Information
NPI	1891723953
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638174063
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060919000096
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHIMAHOSKY
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1720 W MARKET ST
	Group Practice or individual's line 1 address
City	POTTSVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	179012141
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390030
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390183
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST LUKE'S MINERS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390006
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GEISINGER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y