Physician Compare National (NPI:1093829236)

HEALTHCARE PROVIDER: DAVID LEE BLEMKER 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	1093829236
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032278114
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081104000452
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BLEMKER
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MONROE MEDICAL GROUP 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	0446576680
	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	18
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3209 W FULLERTON PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	BLOOMINGTON
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	474034060
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8128256006
	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	150183
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MONROE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150051
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150061
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DAVIESS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y