Physician Compare National (NPI:1063468981)

HEALTHCARE PROVIDER: KEENAN AL-HOJERRY 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	1063468981
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880613132
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051115001121
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALHOJERRY
	Individual professional last name
Provider First Name	KEENAN
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	278 LAFAYETTE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE E5
	Group Practice or individual's line 2 address
City	PORTSMOUTH
	Group Practice or individual's city
State	NH
	Group Practice or individual's state
Zip Code	038015455
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	300029
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PORTSMOUTH REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	300018
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WENTWORTH-DOUGLASS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	300014
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	FRISBIE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y