Physician Compare National (NPI:1538508437)

HEALTHCARE PROVIDER: JOSEPH FORTUNE WHITE 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	1538508437
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688966153
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180809006036
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WHITE
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Middle Name	FORTUNE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GREATER KNOXVILLE EAR NOSE AND THROAT ASSOCIATES PC
	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	0244126126
	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	15
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7557 A DANNAHER DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 220
	Group Practice or individual's line 2 address
City	POWELL
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	378494029
	Group Practice or individual's zip code (9 digits when available)
Phone Number	86552180500
	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	440015
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY OF TN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440120
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PHYSICIANS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	440110
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	FORT LOUDOUN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y