Physician Compare National (NPI:1346224201)

HEALTHCARE PROVIDER: PATRICK J GREGG MD

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

Individual Professional Information
NPI	1346224201
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517008451
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100114000066
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GREGG
	Individual professional last name
Provider First Name	PATRICK
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DREXEL UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	160 NW 2ND AVE
	Group Practice or individual's line 1 address
City	CANBY
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	970133729
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380082
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE MILWAUKIE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y