Physician Compare National (NPI:1992786537)

HEALTHCARE PROVIDER: JOSEPH ZUCKER 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	1992786537
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325944648
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171121001400
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZUCKER
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DHP OF MISSOURI 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	3678860426
	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	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 MERCY WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 430
	Group Practice or individual's line 2 address
City	JOPLIN
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	648044524
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4175568757
	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	150089
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260001
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL JOPLIN
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	340119
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	STANLY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y