Physician Compare National (NPI:1013193705)

HEALTHCARE PROVIDER: KELLIE ELIZABETH FLIPPIN 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	1013193705
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628153558
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160329000782
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FLIPPIN
	Individual professional last name
Provider First Name	KELLIE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ROCKY MOUNTAIN ONCOLOGY CENTER LLC
	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	6709879174
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6501 E 2ND ST
	Group Practice or individual's line 1 address
City	CASPER
	Group Practice or individual's city
State	WY
	Group Practice or individual's state
Zip Code	826094293
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3072355433
	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	531316
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HOSPITAL OF CARBON COUNTY
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y