Physician Compare National (NPI:1437314895)

HEALTHCARE PROVIDER: JOHN POOLE FORNEY 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	1437314895
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436328291
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110811000575
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FORNEY
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	P
	Individual professional middle 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	2005
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FAMILY PRACTICE CENTER PC
	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	0244124212
	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	226
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	101 FISHER ST
	Group Practice or individual's line 1 address
City	HALIFAX
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	170328857
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7178273428
	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	390067
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PINNACLE HEALTH HOSPITALS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390058
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CARLISLE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390004
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOLY SPIRIT HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y