Physician Compare National (NPI:1063408706)

HEALTHCARE PROVIDER: OSCAR REYNA 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	1063408706
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113027434
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070716000109
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REYNA
	Individual professional last name
Provider First Name	OSCAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	328 WELDON ST
	Group Practice or individual's line 1 address
City	LATROBE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	156501851
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390219
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EXCELA HEALTH LATROBE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390145
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390217
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EXCELA HEALTH - FRICK HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y