Physician Compare National (NPI:1609802818)

HEALTHCARE PROVIDER: HEIDI NASHED-GUIRGUIS 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	1609802818
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284605098
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040804001453
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NASHED GUIRGUIS
	Individual professional last name
Provider First Name	HEIDI
	Individual professional first name
Provider Middle Name	MORAD
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COLLEGE PARK MEDICINE,PA
	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	7113964966
	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	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	17191 ST LUKES WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	THE WOODLANDS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773848043
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9362712555
	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	450844
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOUSTON METHODIST WILLOWBROOK HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450774
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TOPS SURGICAL SPECIALTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y