Physician Compare National (NPI:1295786234)

HEALTHCARE PROVIDER: GREGORY L ERDELYAN 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	1295786234
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395643407
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031230000515
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ERDELYAN
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Middle Name	L
	Individual professional middle 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	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	THORACIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	THORACIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1104 HOSPITAL DR
	Group Practice or individual's line 1 address
City	STOCKBRIDGE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	302816381
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110191
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT HENRY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y