Physician Compare National (NPI:1568559862)

HEALTHCARE PROVIDER: LYNN EBAUGH 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	1568559862
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729986195
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101104000980
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EBAUGH
	Individual professional last name
Provider First Name	LYNN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7640 WOLF RIVER CIR
	Group Practice or individual's line 1 address
Line 2 Street Address	FL 2
	Group Practice or individual's line 2 address
City	GERMANTOWN
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	381381744
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9017550208
	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	440048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METHODIST HEALTHCARE MEMPHIS HOSPITALS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y