Physician Compare National (NPI:1356317267)

HEALTHCARE PROVIDER: TERRANCE SCOTT CHILSON 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	1356317267
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254366479
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050927000983
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHILSON
	Individual professional last name
Provider First Name	TERRANCE
	Individual professional first name
Provider Middle Name	SCOTT
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

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

Practice Information
Line 1 Street Address	1 KIM AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 4
	Group Practice or individual's line 2 address
City	TUNKHANNOCK
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	186579101
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390192
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TYLER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390270
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GEISINGER WYOMING VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390236
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GUTHRIE TOWANDA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390001
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GEISINGER-COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	391306
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ENDLESS MOUNTAINS HEALTH SYSTEMS
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1356317267)

HEALTHCARE PROVIDER: TERRANCE SCOTT CHILSON M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information