Physician Compare National (NPI:1164664348)

HEALTHCARE PROVIDER: KAREN EDWARDS SEAGO NP

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

Individual Professional Information
NPI	1164664348
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901951979
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090827000665
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEAGO
	Individual professional last name
Provider First Name	KAREN
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	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
Line 1 Street Address	187 DOCTORS DR
	Group Practice or individual's line 1 address
City	PEARL
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	392084042
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250096
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CROSSGATES RIVER OAKS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250138
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERIT HEALTH RIVER OAKS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	250102
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MISSISSIPPI BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y