Physician Compare National (NPI:1952335960)

HEALTHCARE PROVIDER: J BART MULDOWNEY MN

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

Individual Professional Information
NPI	1952335960
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355486036
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100305000274
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MULDOWNEY
	Individual professional last name
Provider First Name	J
	Individual professional first name
Provider Middle Name	BART
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7450 FRANCE AVE S
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 220
	Group Practice or individual's line 2 address
City	EDINA
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	554354792
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y