Physician Compare National (NPI:1063410769)

HEALTHCARE PROVIDER: TRIA WILHITE 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	1063410769
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688867294
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101014001290
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WILHITE
	Individual professional last name
Provider First Name	TRIA
	Individual professional first name
Provider Middle Name	KAY
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	98 MEDICAL DR
	Group Practice or individual's line 1 address
City	HANNIBAL
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	634016885
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y