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Physician Compare National (NPI:1184817918)

HEALTHCARE PROVIDER: DAVID RIOS MD

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

Individual Professional Information

NPI 1184817918
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8921193657
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120524000112
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RIOS
Individual professional last name
Provider First Name DAVID
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 2004
Individual professional's medical school graduation year
Primary Specialty EMERGENCY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name EMERGENCY PROFESSIONALS OF INDIANA, P.C.
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 4183604150
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 24
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3700 WASHINGTON AVE
Group Practice or individual's line 1 address
City EVANSVILLE
Group Practice or individual's city
State IN
Group Practice or individual's state
Zip Code 477500541
Group Practice or individual's zip code (9 digits when available)
Phone Number 8124854000
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 150065
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SCHNECK MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 141326
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HAMILTON MEMORIAL HOSPITAL DISTRICT
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 440065
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 NORTHCREST MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 140210
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 HARRISBURG MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 140294
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 CROSSROADS COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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