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Physician Compare National (NPI:1053317156)

HEALTHCARE PROVIDER: JAMES EARL REDFIELD JR. 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 1053317156
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8729128285
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20091215000365
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name REDFIELD
Individual professional last name
Provider First Name JAMES
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Individual professional's medical school
Graduation Year 1986
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 COLORECTAL SURGERY (PROCTOLOGY)
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 THORACIC SURGERY
Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3 VASCULAR SURGERY
Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties COLORECTAL SURGERY (PROCTOLOGY), THORACIC SURGERY, VASCULAR SURGERY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name NACOGDOCHES COUNTY HOSPITAL DISTRICT
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 0446151328
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 23
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1002 N MOUND ST
Group Practice or individual's line 1 address
Line 2 Street Address NACOGDOCHES MEMORIAL
Group Practice or individual's line 2 address
City NACOGDOCHES
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 759614437
Group Practice or individual's zip code (9 digits when available)
Phone Number 9365603800
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 450508
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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