Physician Compare National (NPI:1003019563)

HEALTHCARE PROVIDER: JOHN JOSEPH FRANK 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	1003019563
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688707060
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170125003076
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRANK
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	JOSEPH
	Individual professional middle 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	1998
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BAY AREA HOSPITAL DISTRICT
	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	2163331000
	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	49
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1775 THOMPSON RD
	Group Practice or individual's line 1 address
City	COOS BAY
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	974202198
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5412698124
	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	380090
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAY AREA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060116
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GOOD SAMARITAN MEDICAL CENTER LLC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	060009
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LUTHERAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	060028
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SAINT JOSEPH HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y