Physician Compare National (NPI:1598785065)

HEALTHCARE PROVIDER: GERARD L HERSHEWE DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598785065
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315106473
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120308000425
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERSHEWE
	Individual professional last name
Provider First Name	GERARD
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	75 PRINGLE WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 605
	Group Practice or individual's line 2 address
City	RENO
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	895021472
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RENOWN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	290049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RENOWN SOUTH MEADOWS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	291313
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BANNER CHURCHILL COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	290019
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CARSON TAHOE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y