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Physician Compare National (NPI:1588652416)

HEALTHCARE PROVIDER: GEORGE BEHNAM ISAAC 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 1588652416
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355233065
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080516000553
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ISAAC
Individual professional last name
Provider First Name GEORGE
Individual professional first name
Provider Middle Name B
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 1983
Individual professional's medical school graduation year
Primary Specialty RHEUMATOLOGY
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 2140 JOHN F KENNEDY RD
Group Practice or individual's line 1 address
Line 2 Street Address B
Group Practice or individual's line 2 address
City DUBUQUE
Group Practice or individual's city
State IA
Group Practice or individual's state
Zip Code 520023883
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 161335
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 BUCHANAN COUNTY HEALTH CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 161329
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 JACKSON COUNTY REGIONAL HEALTH CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 160080
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 MERCY MEDICAL CENTER-CLINTON
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 160117
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 FINLEY HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 160040
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 SARTORI MEMORIAL HOSPITAL, INC
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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