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Physician Compare National (NPI:1326181710)

HEALTHCARE PROVIDER: TARA J HAMILTON 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 1326181710
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6507957230
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070809000123
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HAMILTON
Individual professional last name
Provider First Name TARA
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty ENDOCRINOLOGY
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 PARTNERS COMMUNITY PHYSICIANS ORGANIZATION INC
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 1759273436
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 199
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 101 MAIN ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 107
Group Practice or individual's line 2 address
City MEDFORD
Group Practice or individual's city
State MA
Group Practice or individual's state
Zip Code 021554530
Group Practice or individual's zip code (9 digits when available)
Phone Number 7813954761
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 220070
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HALLMARK HEALTH SYSTEM
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 220035
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 NORTH SHORE MEDICAL CENTER -
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 220105
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 WINCHESTER HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 220116
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 TUFTS MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment Y

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