Physician Compare National (NPI:1467453787)

HEALTHCARE PROVIDER: OWEN STANLEY REICHMAN 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	1467453787
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072400472
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110810000078
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REICHMAN
	Individual professional last name
Provider First Name	OWEN
	Individual professional first name
Provider Middle Name	STANLEY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF UTAH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ENT OF DENVER, 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	4385531789
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4500 E 9TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 610
	Group Practice or individual's line 2 address
City	DENVER
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	802203925
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3033167048
	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	060032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROSE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	061313
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KIT CARSON COUNTY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	061343
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KEEFE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y