Physician Compare National (NPI:1417954181)

HEALTHCARE PROVIDER: THOMAS A GRAUL 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	1417954181
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597832840
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080929000294
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRAUL
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	EYE SURGICAL ASSOCIATES LLC
	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	4082695721
	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	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	120 PARK AVE
	Group Practice or individual's line 1 address
City	HEBRON
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	683702019
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4024849000
	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	280127
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LINCOLN SURGICAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	171361
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	REPUBLIC COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	280003
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BRYAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	281304
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	THAYER COUNTY HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y