Physician Compare National (NPI:1285991299)

HEALTHCARE PROVIDER: JERRY WAYNE CATT JR. 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	1285991299
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315255056
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181001001130
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CATT
	Individual professional last name
Provider First Name	JERRY
	Individual professional first name
Provider Middle Name	WAYNE
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2015
	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	IHC-SWEDISHAMERICAN EMERGENCY PHYSICIANS, LLC
	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	7911890678
	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	36
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1401 E STATE ST
	Group Practice or individual's line 1 address
City	ROCKFORD
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	611042315
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8159684400
	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	160080
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER-CLINTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140228
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SWEDISH AMERICAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y