Physician Compare National (NPI:1285622258)

HEALTHCARE PROVIDER: ADELHEID T EBENHOECH 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	1285622258
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688736010
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081218000786
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EBENHOECH
	Individual professional last name
Provider First Name	ADELHEID
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MICHIGAN COLLEGE OF MEDICINE AND SURGERY
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FAMILY CARE MEDICAL GROUP
	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	6608852637
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	17615 MORO RD
	Group Practice or individual's line 1 address
City	SALINAS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	939078541
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8316633926
	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	050334
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SALINAS VALLEY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050145
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y