Physician Compare National (NPI:1164783700)

HEALTHCARE PROVIDER: MATTHEW S. PAPPY 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	1164783700
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638485873
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161021001712
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAPPY
	Individual professional last name
Provider First Name	MATTHEW
	Individual professional first 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	2012
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	502 W 4TH AVE
	Group Practice or individual's line 1 address
City	TOPPENISH
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	989481616
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	521341
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RICHLAND HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	031314
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COBRE VALLEY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	240006
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OLMSTED MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	291313
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BANNER CHURCHILL COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y