Physician Compare National (NPI:1609840040)

HEALTHCARE PROVIDER: LYNN A PITTMAN 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	1609840040
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325096662
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050104000524
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PITTMAN
	Individual professional last name
Provider First Name	LYNN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5401 S E ST UNIT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	INDIANAPOLIS
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	462272076
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150056
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS)
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y