Physician Compare National (NPI:1649632886)

HEALTHCARE PROVIDER: CESAR HURTADO 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	1649632886
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789983321
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190313000997
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HURTADO
	Individual professional last name
Provider First Name	CESAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	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	SOUTH CENTRAL HOSPITALISTS, LLP
	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	0547493934
	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	36
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	609 W MAPLE AVE
	Group Practice or individual's line 1 address
City	SPRINGDALE
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	727645335
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4797515711
	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	040022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHWEST MEDICAL CENTER-SPRINGDALE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040001
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SILOAM SPRINGS REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y