Physician Compare National (NPI:1528360765)

HEALTHCARE PROVIDER: GERALDO ENRIQUE HOLGUIN TERRERO 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	1528360765
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436320926
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160816000040
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOLGUIN
	Individual professional last name
Provider First Name	GERALDO
	Individual professional first name
Provider Middle Name	ENRIQUE
	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	2004
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INFECTIOUS DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INFECTIOUS DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MEMORIAL HEALTH PARTNERS FOUNDATION, INC
	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	8022919570
	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	233
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2051 HAMILL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	HIXSON
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373434653
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4234952635
	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	440091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HEALTHCARE SYSTEM, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440156
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PARKRIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y