Physician Compare National (NPI:1912093634)

HEALTHCARE PROVIDER: JOHN IRVIN DEFFIBAUGH III D.C.

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

Individual Professional Information
NPI	1912093634
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799950598
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111230000477
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEFFIBAUGH
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	IRVIN
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	126 OSTER ST
	Group Practice or individual's line 1 address
City	OSTERBURG
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	166679136
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M