Physician Compare National (NPI:1942377874)

HEALTHCARE PROVIDER: JAY SELIGMAN DO

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

Individual Professional Information
NPI	1942377874
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648336701
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160725000780
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SELIGMAN
	Individual professional last name
Provider First Name	JAY
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BOONE COUNTY COMPREHENSIVE SPECIALTY CARE
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8022012293
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	BOONE COUNTY HOSPITAL
	Group Practice or individual's line 1 address
City	BOONE
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	50036
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5154323140
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	161372
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BOONE COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y