Physician Compare National (NPI:1497741516)

HEALTHCARE PROVIDER: GEORGE F ADAM JR. 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	1497741516
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365426491
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100503000349
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADAM
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	FRANKLIN
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC
	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	2668547613
	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	88
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	139 GARAU ST
	Group Practice or individual's line 1 address
City	BLUFFTON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	458171027
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360095
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BLANCHARD VALLEY REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	361329
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WYANDOT MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	361322
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BLUFFTON HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	361318
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	FOSTORIA COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y