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Physician Compare National (NPI:1093764755)

HEALTHCARE PROVIDER: YVONNE GWYNETH DOWDY 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 1093764755
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8628055019
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070620000402
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DOWDY
Individual professional last name
Provider First Name YVONNE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty PATHOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name DAYTON GASTROENTEROLOGY INC
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 9537064407
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 43
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 75 SYLVANIA DR
Group Practice or individual's line 1 address
City BEAVERCREEK
Group Practice or individual's city
State OH
Group Practice or individual's state
Zip Code 454403237
Group Practice or individual's zip code (9 digits when available)
Phone Number 9373205050
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 360079
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 KETTERING MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 360133
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 GRANDVIEW AND SOUTHVIEW HOSPITALS
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 360360
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 SOIN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 360132
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 FORT HAMILTON HUGHES MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 360239
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 KETTERING MEDICAL CENTER - SYCAMORE
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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