Physician Compare National (NPI:1396739272)

HEALTHCARE PROVIDER: HEINZ J HERMANN 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	1396739272
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496949240
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101105000133
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERMANN
	Individual professional last name
Provider First Name	HEINZ
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	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

Practice Information
Line 1 Street Address	3801 VISTA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 420
	Group Practice or individual's line 2 address
City	PASADENA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	775042162
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450097
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYSHORE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670031
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI ST LUKE'S PATIENTS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450184
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y