Physician Compare National (NPI:1588679088)

HEALTHCARE PROVIDER: YONG-BING SHI 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	1588679088
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759461155
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080110000064
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHI
	Individual professional last name
Provider First Name	YONG-BING
	Individual professional first 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	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	SENTIENT PHYSICIANS 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	2668764333
	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	24
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1040 NW 22ND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 630
	Group Practice or individual's line 2 address
City	PORTLAND
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	972103041
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8003484565
	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	380004
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE ST VINCENT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y