Physician Compare National (NPI:1467452995)

HEALTHCARE PROVIDER: PHILIP BEUCHERT 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	1467452995
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890974380
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180423003125
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEUCHERT
	Individual professional last name
Provider First Name	PHILIP
	Individual professional first name
Provider Middle Name	ANDREW
	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	1994
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WELLINGTON IMAGING ASSOCIATES, PA
	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	3779484613
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	524 W SAGAMORE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	HENDRY REGIONAL MEDICAL CENTER
	Group Practice or individual's line 2 address
City	CLEWISTON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334403514
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8639023000
	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	260061
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEVADA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	171333
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CLARA BARTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	261306
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SULLIVAN COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y