Physician Compare National (NPI:1942357900)

HEALTHCARE PROVIDER: HAROLD ROBERT NEITZSCHMAN III 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	1942357900
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092894147
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080501000087
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NEITZSCHMAN
	Individual professional last name
Provider First Name	HAROLD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1150 ROBERT BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 350
	Group Practice or individual's line 2 address
City	SLIDELL
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	704582008
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190040
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SLIDELL MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250117
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HIGHLAND COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190036
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OCHSNER MEDICAL CENTER NEW ORLEANS
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	190312
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	OUR LADY OF THE ANGELS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	190204
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	OCHSNER MEDICAL CENTER - NORTHSHORE, L L C
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1942357900)

HEALTHCARE PROVIDER: HAROLD ROBERT NEITZSCHMAN III M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information