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Physician Compare National (NPI:1215932645)

HEALTHCARE PROVIDER: KATHY LYN CHRISTMAN 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 1215932645
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2365512324
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080602000934
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CHRISTMAN
Individual professional last name
Provider First Name KATHY
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1987
Individual professional's medical school graduation year
Primary Specialty MEDICAL ONCOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name CANDLER MEDICAL ONCOLOGY PRACTICE 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 2860717089
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 16
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 100 BUCKWALTER PLACE BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 120
Group Practice or individual's line 2 address
City BLUFFTON
Group Practice or individual's city
State SC
Group Practice or individual's state
Zip Code 299105154
Group Practice or individual's zip code (9 digits when available)
Phone Number 8438367120
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 110024
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 CANDLER HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 420078
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 GHS GREENVILLE MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 420080
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 HILTON HEAD REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 420101
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 COASTAL CAROLINA HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 420015
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 BAPTIST EASLEY HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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