Physician Compare National (NPI:1437143179)

HEALTHCARE PROVIDER: FRED M FOSS 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	1437143179
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416954797
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090211000706
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FOSS
	Individual professional last name
Provider First Name	FRED
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CHICAGO COLLEGE OF MEDICINE AND SURGERY
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	948 STEVENS DR A
	Group Practice or individual's line 1 address
City	RICHLAND
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	993523547
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5099465150
	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	500058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KADLEC REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500053
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TRIOS HEALTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	501312
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PROSSER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y