Physician Compare National (NPI:1962836783)

HEALTHCARE PROVIDER: CHRISTOPHER S CROWLEY MD, PHD

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

Individual Professional Information
NPI	1962836783
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406128487
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170825002057
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CROWLEY
	Individual professional last name
Provider First Name	CHRISTOPHER
	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.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WILLIAM F RESH, MD, SKIN AND SKIN CANCER MEDICAL GROUP OF SAN DIEGO, I
	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	4082601935
	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	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	655 EUCLID AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 401
	Group Practice or individual's line 2 address
City	NATIONAL CITY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	919502978
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6192678303
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y