Physician Compare National (NPI:1265408223)

HEALTHCARE PROVIDER: DENNIS PHILIP WEIGEL 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	1265408223
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143115071
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100309000932
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEIGEL
	Individual professional last name
Provider First Name	DENNIS
	Individual professional first name
Provider Middle Name	P
	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 IOWA, RJ & L CARVER COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DOUGLAS COUNTY HOSPITAL
	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	0648171413
	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	95
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	111 17TH AVE E
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	ALEXANDRIA
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	563083734
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3207621144
	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	240030
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOUGLAS COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	241321
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOLY TRINITY HOSPITAL & GRACE HOME
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	241376
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GLACIAL RIDGE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y