Physician Compare National (NPI:1285703249)

HEALTHCARE PROVIDER: JONATHAN OHENHEN 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	1285703249
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587615554
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050329000202
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OHENHEN
	Individual professional last name
Provider First Name	JONATHAN
	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	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1904 W BROADWAY AVE
	Group Practice or individual's line 1 address
City	SULPHUR
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	730864248
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	371328
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ARBUCKLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370020
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL ADA
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	370047
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY HOSPITAL ARDMORE, INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M