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Physician Compare National (NPI:1225002660)

HEALTHCARE PROVIDER: DENNISON ROBERT HAMILTON MD, MPH

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

Individual Professional Information

NPI 1225002660
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0749378396
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090116000205
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HAMILTON
Individual professional last name
Provider First Name DENNISON
Individual professional first name
Provider Middle Name ROBERT
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty PAIN MANAGEMENT
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERVENTIONAL PAIN MANAGEMENT
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 ORTHOPEDIC SURGERY
Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3 OSTEOPATHIC MANIPULATIVE MEDICINE
Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERVENTIONAL PAIN MANAGEMENT, ORTHOPEDIC SURGERY, OSTEOPATHIC MANIPULATIVE MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 401 WOODLAND HILLS BLVD
Group Practice or individual's line 1 address
Line 2 Street Address MERCY HOSPITAL
Group Practice or individual's line 2 address
City FORT SCOTT
Group Practice or individual's city
State KS
Group Practice or individual's state
Zip Code 667018797
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 261332
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 CARROLL COUNTY MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 281352
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 COMMUNITY MEDICAL CENTER, INC.
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 171341
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 HIAWATHA COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 171373
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 ALLEN COUNTY REGIONAL HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 261327
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 RAY COUNTY MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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