Physician Compare National (NPI:1376685164)

HEALTHCARE PROVIDER: HENRY C YEAGER III 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	1376685164
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587708060
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100222000550
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YEAGER
	Individual professional last name
Provider First Name	HENRY
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1212 ONEILL HWY
	Group Practice or individual's line 1 address
City	DUNMORE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	185121717
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5705580190
	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	390001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GEISINGER-COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390119
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MOSES TAYLOR HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390237
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	REGIONAL HOSPITAL OF SCRANTON
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390125
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WAYNE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390137
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WILKES-BARRE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1376685164)

HEALTHCARE PROVIDER: HENRY C YEAGER III MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information