Physician Compare National (NPI:1972516961)

HEALTHCARE PROVIDER: JANNA L MASSAR MD

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

Individual Professional Information
NPI	1972516961
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143486076
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120723000232
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MASSAR
	Individual professional last name
Provider First Name	JANNA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2208 DALLAS PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 325C1
	Group Practice or individual's line 2 address
City	PLANO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750934577
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450771
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y