Physician Compare National (NPI:1023098027)

HEALTHCARE PROVIDER: FERRAL L ENDSLEY DO

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

Individual Professional Information
NPI	1023098027
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466648233
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101119000515
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ENDSLEY
	Individual professional last name
Provider First Name	FERRAL
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1934 HICKORY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	ABILENE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	796012336
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3256705300
	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	450229
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HENDRICK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y