Physician Compare National (NPI:1972708899)

HEALTHCARE PROVIDER: RUTH CELESTIN 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	1972708899
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456588508
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131216001479
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CELESTIN
	Individual professional last name
Provider First Name	RUTH
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2007
	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	33 UPPER RIVERDALE RD SW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 115
	Group Practice or individual's line 2 address
City	RIVERDALE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	302742642
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y