Physician Compare National (NPI:1023225968)

HEALTHCARE PROVIDER: JONATHAN D. GESSNER 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	1023225968
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769576941
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070919000241
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GESSNER
	Individual professional last name
Provider First Name	JONATHAN
	Individual professional first name
Provider Middle Name	DALE
	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	2004
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5 GESSNER WAY
	Group Practice or individual's line 1 address
City	NORTHUMBERLAND
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	178571535
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EVANGELICAL COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GEISINGER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390045
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WILLIAMSPORT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y