Physician Compare National (NPI:1457439788)

HEALTHCARE PROVIDER: ANTOINE GEORGE HABRE 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	1457439788
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254378052
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070221000318
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HABRE
	Individual professional last name
Provider First Name	ANTOINE
	Individual professional first name
Provider Middle Name	GEORGE
	Individual professional middle name
Provider Gender	M
	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	OTHER
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	590 W RIDGE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE I
	Group Practice or individual's line 2 address
City	WYTHEVILLE
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	243821067
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490111
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WYTHE COUNTY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490038
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SMYTH COUNTY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y