Physician Compare National (NPI:1508853243)

HEALTHCARE PROVIDER: RICHARD D JANTZ 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	1508853243
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042123036
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110103000648
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JANTZ
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	DEAN
	Individual professional middle name
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	UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEALTHONE HEART CARE 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	9436394467
	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	29
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	645 OSAGE ST
	Group Practice or individual's line 1 address
City	SIDNEY
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	691621714
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3082544715
	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	281357
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SIDNEY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060100
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	AURORA SOUTH HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	060112
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SKY RIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	280061
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	REGIONAL WEST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y