Physician Compare National (NPI:1326038571)

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	1326038571
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901934868
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100513000561
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAMMER
	Individual professional last name
Provider First Name	DARRELL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1963
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1615 12TH AVE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C
	Group Practice or individual's line 2 address
City	NAMPA
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	836866184
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y