Physician Compare National (NPI:1154893618)

HEALTHCARE PROVIDER: FERDINAND A AKOH

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

Individual Professional Information
NPI	1154893618
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799119194
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191217003125
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AKOH
	Individual professional last name
Provider First Name	FERDINAND
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SAHARA WEST URGENT CARE AND WELLNESS LLC
	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	0648556522
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6125 W SAHARA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	1B
	Group Practice or individual's line 2 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891463037
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7022480554
	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	451332
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PALACIOS COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y