Physician Compare National (NPI:1053504910)

HEALTHCARE PROVIDER: JOHN Y. HESS 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	1053504910
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325106560
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081017000011
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HESS
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	Y
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2220 LYNN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	THOUSAND OAKS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913608009
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050549
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOS ROBLES HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y