Physician Compare National (NPI:1457543340)

HEALTHCARE PROVIDER: SIOBHAN P LYNCH 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	1457543340
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991879652
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170628002298
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LYNCH
	Individual professional last name
Provider First Name	SIOBHAN
	Individual professional first name
Provider Middle Name	PATRICIA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COMMUNITY PHYSICIANS GROUP
	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	8426370842
	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	77
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2827 FORT MISSOULA RD
	Group Practice or individual's line 1 address
City	MISSOULA
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	598047408
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	270023
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	271323
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CLARK FORK VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	271314
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DEER LODGE MEDICAL CENTER - CAH
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	271325
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST LUKE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y