Physician Compare National (NPI:1265657274)

HEALTHCARE PROVIDER: JAN ALEXANDER 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	1265657274
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820165806
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080916000667
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALEXANDER
	Individual professional last name
Provider First Name	JAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2302 COLLEGE AVE
	Group Practice or individual's line 1 address
City	CONWAY
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	720346297
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040020
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST BERNARDS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	041302
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RIVER VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	040029
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CONWAY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y