Physician Compare National (NPI:1588621148)

HEALTHCARE PROVIDER: SAMUEL CHARLES KLINE 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	1588621148
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123213543
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101111000447
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KLINE
	Individual professional last name
Provider First Name	SAMUEL
	Individual professional first name
Provider Middle Name	C
	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
Primary Specialty	HAND SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ORTHOPEDIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ORTHOPEDIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	VANN-VIRGINIA CENTER FOR ORTHOPAEDICS 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	9133115397
	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	58
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1975 GLENN MITCHELL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	VIRGINIA BEACH
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	234560167
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7573213300
	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	490119
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SENTARA PRINCESS ANNE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490057
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SENTARA VIRGINIA BEACH GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490007
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SENTARA NORFOLK GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y