Individual Professional Information |
|
NPI
|
1336147263
|
|
Unique healthcare provider (clinician) ID assigned by NPPES
|
|
PECOS UID
|
1254329584
|
|
Unique individual clinician ID assigned by PECOS
|
|
Professional Enrollment ID
|
I20091117000498
|
|
Unique ID for the individual professional enrollment that is the source for the data in the observation
|
|
Provider Last Name
|
WEEKS
|
|
Individual professional last name
|
|
Provider First Name
|
ALBERT
|
|
Individual professional first name
|
|
Provider Middle Name
|
E
|
|
Individual professional middle name
|
|
Provider Gender
|
M
|
|
The provider's gender if the provider is a person.
|
Medical School Information |
|
Medical School Name
|
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
|
|
Individual professional's medical school
|
|
Graduation Year
|
1983
|
|
Individual professional's medical school graduation year
|
|
Primary Specialty
|
HEMATOLOGY/ONCOLOGY
|
|
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
|
Hospital(s) Affiliation Information |
|
Hospital Affiliation CCN 1
|
440109
|
|
Medicare CCN of hospital where individual professional provides service 1
|
|
Hospital Affiliation LBN 1
|
HARDIN MEDICAL CENTER
|
|
Legal business name of hospital where individual professional provides service 1
|
|
Hospital Affiliation CCN 2
|
440048
|
|
Medicare CCN of hospital where individual professional provides service 2
|
|
Hospital Affiliation LBN 2
|
BAPTIST MEMORIAL HOSPITAL
|
|
Legal business name of hospital where individual professional provides service 2
|
|
Hospital Affiliation CCN 3
|
440049
|
|
Medicare CCN of hospital where individual professional provides service 3
|
|
Hospital Affiliation LBN 3
|
METHODIST HEALTHCARE MEMPHIS HOSPITALS
|
|
Legal business name of hospital where individual professional provides service 3
|
|
Hospital Affiliation CCN 4
|
440183
|
|
Medicare CCN of hospital where individual professional provides service 4
|
|
Hospital Affiliation LBN 4
|
ST FRANCIS HOSPITAL
|
|
Legal business name of hospital where individual professional provides service 4
|
|
Hospital Affiliation CCN 5
|
440002
|
|
Medicare CCN of hospital where individual professional provides service 5
|
|
Hospital Affiliation LBN 5
|
JACKSON-MADISON COUNTY GENERAL HOSPITAL
|
|
Legal business name of hospital where individual professional provides service 5
|
|
Professional Accepts Medicare Assignment
|
Y
|
|
|