Physician Compare National (NPI:1013199637)

HEALTHCARE PROVIDER: DEAN DALE WORTHINGSTUN D.O.

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

Individual Professional Information
NPI	1013199637
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678743325
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110907001124
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WORTHINGSTUN
	Individual professional last name
Provider First Name	DEAN
	Individual professional first name
Provider Middle Name	D
	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	2005
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	ORTHOPEDIC SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	SPORTS MEDICINE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY, ORTHOPEDIC SURGERY, SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	980 E MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300
	Group Practice or individual's line 2 address
City	BLUE RIDGE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	305137139
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110189
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FANNIN REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110051
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNION GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	341328
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MURPHY MEDICAL CENTER INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y