Physician Compare National (NPI:1609220508)

HEALTHCARE PROVIDER: SARAH MCDANIELS 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	1609220508
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971830878
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190815003521
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCDANIELS
	Individual professional last name
Provider First Name	SARAH
	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 NEVADA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CEP AMERICA LLC
	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	6608056171
	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	272
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	351 SW 9TH ST
	Group Practice or individual's line 1 address
City	ONTARIO
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	979142639
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5418817000
	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	130007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT ALPHONSUS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	130013
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT ALPHONSUS MEDICAL CENTER - NAMPA
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y