Physician Compare National (NPI:1467662080)

HEALTHCARE PROVIDER: DEAN-YAR TIGRANI 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	1467662080
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860546991
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090824000592
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TIGRANI
	Individual professional last name
Provider First Name	DEAN YAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	PATHOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GREAT LAKES PATHOLOGISTS SC
	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	7315850682
	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	51
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5900 S LAKE DR
	Group Practice or individual's line 1 address
City	CUDAHY
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	531103171
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4144894121
	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	520138
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AURORA ST LUKES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	520008
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WAUKESHA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	520193
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	AURORA BAYCARE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	520113
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAY AREA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	520207
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	AURORA MEDICAL CENTER - GRAFTON
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1467662080)

HEALTHCARE PROVIDER: DEAN-YAR TIGRANI M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information