Physician Compare National (NPI:1962848465)

HEALTHCARE PROVIDER: DANIEL GOGLIOTTI D.C.

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

Individual Professional Information
NPI	1962848465
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537308549
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130625000231
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOGLIOTTI
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SUPERIOR HEALTHCARE PHYSICAL MEDICINE OF WEST COUNTY LLC
	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	6507162062
	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	2121 BARRETT STATION RD
	Group Practice or individual's line 1 address
City	SAINT LOUIS
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	631311606
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3143941923
	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