Physician Compare National (NPI:1144618414)

HEALTHCARE PROVIDER: SHEENA DOHAR

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144618414
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234432667
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190319001641
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOHAR
	Individual professional last name
Provider First Name	SHEENA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PSI MED 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	9335199843
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1111 VAN VOORHIS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE J
	Group Practice or individual's line 2 address
City	MORGANTOWN
	Group Practice or individual's city
State	WV
	Group Practice or individual's state
Zip Code	265052737
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3042125526
	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	390037
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HERITAGE VALLEY SEWICKLEY
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y