Physician Compare National (NPI:1528033214)

HEALTHCARE PROVIDER: RICHARD MISHLER CRNA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1528033214
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830294958
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200331003784
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MISHLER
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	L
	Individual professional middle 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	1975
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	100 TRADING BAY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 9
	Group Practice or individual's line 2 address
City	KENAI
	Group Practice or individual's city
State	AK
	Group Practice or individual's state
Zip Code	996117786
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y