Physician Compare National (NPI:1902891104)

HEALTHCARE PROVIDER: PAULO J CANCADO 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	1902891104
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476444910
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120622000126
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CANCADO
	Individual professional last name
Provider First Name	PAULO
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	216 W 10TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 304
	Group Practice or individual's line 2 address
City	KENNEWICK
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	993366304
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500053
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRIOS HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500058
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KADLEC REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	500002
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PROVIDENCE ST MARY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	381319
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST ANTHONY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	501312
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	PROSSER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1902891104)

HEALTHCARE PROVIDER: PAULO J CANCADO M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information