Physician Compare National (NPI:1033111760)

HEALTHCARE PROVIDER: ZANE T WALSH JR. 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	1033111760
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911035340
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110803000248
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WALSH
	Individual professional last name
Provider First Name	ZANE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTH CAROLINA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1990
	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
Organization Legal Name	HIGHLAND HEALTH OF NORTH CAROLINA PA
	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	0446439988
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2930 VILLAGE DR
	Group Practice or individual's line 1 address
City	FAYETTEVILLE
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	283043815
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9103239010307
	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	340028
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAPE FEAR VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y