Physician Compare National (NPI:1992885446)

HEALTHCARE PROVIDER: PAUL DARBY CRYAN DPM

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

Individual Professional Information
NPI	1992885446
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163325788
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100628000632
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CRYAN
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	295 OLD EAGLE SCHOOL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	MAIN LINE PODIATRY
	Group Practice or individual's line 2 address
City	WAYNE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190872609
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6106882304
	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	390153
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PAOLI HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y