Physician Compare National (NPI:1306161575)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306161575
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204078439
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191108002331
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PFISTER
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	NUVIEW HEALTH INDIANA PC
	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	6103169966
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1007 LINCOLNWAY
	Group Practice or individual's line 1 address
City	LA PORTE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	463503201
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2193261234
	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	100288
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST MARY'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100287
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GOOD SAMARITAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140187
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HSHS ST ELIZABETH'S HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150006
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LA PORTE HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	180102
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	LOURDES HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1306161575)

HEALTHCARE PROVIDER:

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information