Physician Compare National (NPI:1952347635)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1952347635
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274551809
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051102000871
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PORTNOW
	Individual professional last name
Provider First Name	ARTHUR
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5537 MARQUESAS CIRCLE
	Group Practice or individual's line 1 address
City	SARASOTA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	342333332
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100087
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SARASOTA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y