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Physician Compare National (NPI:1639163637)

HEALTHCARE PROVIDER: DANA L LINDSAY 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 1639163637
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9830227453
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100503000054
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LINDSAY
Individual professional last name
Provider First Name DANA
Individual professional first name
Provider Middle Name LYNN
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name DAVID R. WIPPERMANN MD PC
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 0749217925
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 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1155 W JEFFERSON ST
Group Practice or individual's line 1 address
Line 2 Street Address 102 FRANKLIN SURGICAL ASSOCIATES
Group Practice or individual's line 2 address
City FRANKLIN
Group Practice or individual's city
State IN
Group Practice or individual's state
Zip Code 461312731
Group Practice or individual's zip code (9 digits when available)
Phone Number 3177367603
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 150001
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 JOHNSON MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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