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Physician Compare National (NPI:1619078797)

HEALTHCARE PROVIDER: CARY JOSEPH HERL 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 1619078797
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7618862657
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040223000413
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HERL
Individual professional last name
Provider First Name CARY
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Gender M
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 OTHER
Individual professional's medical school
Graduation Year 1985
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

Line 1 Street Address 1133 COLLEGE AVE
Group Practice or individual's line 1 address
Line 2 Street Address D200
Group Practice or individual's line 2 address
City MANHATTAN
Group Practice or individual's city
State KS
Group Practice or individual's state
Zip Code 665022770
Group Practice or individual's zip code (9 digits when available)
Phone Number 7855390800
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 170142
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MERCY REGIONAL HEALTH CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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