Physician Compare National (NPI:1982918009)

HEALTHCARE PROVIDER: ALAIDDEN TAHER M.D.

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

Individual Professional Information
NPI	1982918009
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224271788
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130830000697
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TAHER
	Individual professional last name
Provider First Name	ALAIDDEN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	APOGEE MEDICAL GROUP IOWA PC
	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	2860572484
	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	15
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1001 PENNSYLVANIA AVE
	Group Practice or individual's line 1 address
City	OTTUMWA
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	525012186
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6416842300
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	160080
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER-CLINTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	160058
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIVERSITY OF IOWA HOSPITAL & CLINICS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	141329
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MORRISON COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	161313
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GENESIS MEDICAL CENTER-DEWITT
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y