Physician Compare National (NPI:1265404883)

HEALTHCARE PROVIDER: KIM LESLEY GORING 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	1265404883
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264459536
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051026000306
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GORING
	Individual professional last name
Provider First Name	KIM
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SLEEP MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	995 PRINCE FREDERICK BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	PRINCE FREDERICK
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	206783199
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOLY CROSS GERMANTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y