Physician Compare National (NPI:1518149467)

HEALTHCARE PROVIDER: IGOR SISTER 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	1518149467
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981787975
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101101001018
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SISTER
	Individual professional last name
Provider First Name	IGOR
	Individual professional first 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	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9 MIMOSA ST
	Group Practice or individual's line 1 address
City	HILTON HEAD
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	299285529
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420080
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HILTON HEAD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050115
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PALOMAR HEALTH DOWNTOWN CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050636
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	POMERADO HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	420101
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COASTAL CAROLINA HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	M