Physician Compare National (NPI:1417134883)

HEALTHCARE PROVIDER: KENDRA MARIE HAMMOND 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	1417134883
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537236427
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190506002078
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAMMOND
	Individual professional last name
Provider First Name	KENDRA
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	CRITICAL CARE (INTENSIVISTS)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MERCY MEDICAL SERVICES
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5799694063
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	67
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	801 5TH ST
	Group Practice or individual's line 1 address
City	SIOUX CITY
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	511011326
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	510058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAMDEN CLARK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	160153
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY MEDICAL CENTER-SIOUX CITY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y