Physician Compare National (NPI:1043282700)

HEALTHCARE PROVIDER: DAVID YOUNG HEALY 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	1043282700
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385959980
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150811005379
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEALY
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ALLERGY/IMMUNOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PLASTIC AND RECONSTRUCTIVE SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	GLACIER EAR NOSE AND THROAT HEAD AND NECK SURGERY PC
	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	4880697432
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	160 HERITAGE WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	KALISPELL
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	599013127
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4067528330
	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	270051
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KALISPELL REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	270087
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE HEALTHCENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	271336
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTH VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y