Physician Compare National (NPI:1437153855)

HEALTHCARE PROVIDER: CASANDRA L CANSLER 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	1437153855
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385741065
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070514000458
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CANSLER
	Individual professional last name
Provider First Name	CASANDRA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	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	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	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	8804 DAYTON PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	H
	Group Practice or individual's line 2 address
City	SODDY DAISY
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373794306
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HEALTHCARE SYSTEM, INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y