Physician Compare National (NPI:1275528234)

HEALTHCARE PROVIDER: HERMAN GIST 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	1275528234
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466448113
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040420001696
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GIST
	Individual professional last name
Provider First Name	HERMAN
	Individual professional first name
Provider Gender	M
	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	NORTH CAROLINA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	106 IRVING ST NW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1500 NORTH
	Group Practice or individual's line 2 address
City	WASHINGTON
	Group Practice or individual's city
State	DC
	Group Practice or individual's state
Zip Code	200102954
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	090011
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDSTAR WASHINGTON HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y