Physician Compare National (NPI:1033551155)

HEALTHCARE PROVIDER: LINDSAY DAMSCHRODER NP-C

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

Individual Professional Information
NPI	1033551155
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486897576
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130820001105
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAMSCHRODER
	Individual professional last name
Provider First Name	LINDSAY
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF OHIO
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SANDUSKY RHEUMATOLOGY INC
	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	4284918632
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2500 W STRUB RD
	Group Practice or individual's line 1 address
Line 2 Street Address	BLDG 1 SUITE B
	Group Practice or individual's line 2 address
City	SANDUSKY
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	448705390
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5679983900
	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	360025
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FIRELANDS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360065
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FISHER-TITUS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y