Physician Compare National (NPI:1275970840)

HEALTHCARE PROVIDER: AMANDA LIEU 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	1275970840
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658679196
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160706001229
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIEU
	Individual professional last name
Provider First Name	AMANDA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BOSTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	STEWARD EMERGENCY PHYSICIANS, INC
	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	0244401404
	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	133
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	70 E ST
	Group Practice or individual's line 1 address
City	METHUEN
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	018444597
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9786870156
	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	220175
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METROWEST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	220163
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y