Physician Compare National (NPI:1386631109)

HEALTHCARE PROVIDER: ROLAND J. DEGEYTER 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	1386631109
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800845736
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050119000063
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEGEYTER
	Individual professional last name
Provider First Name	ROLAND
	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.
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	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1975
	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	502 HAIFLEIGH ST
	Group Practice or individual's line 1 address
City	FRANKLIN
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705383854
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	191310
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FRANKLIN FOUNDATION HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190064
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190054
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	IBERIA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y