Physician Compare National (NPI:1679530463)

HEALTHCARE PROVIDER: HAROLD WILLIAM STITES III 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	1679530463
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507827540
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101118000125
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STITES
	Individual professional last name
Provider First Name	HAROLD
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC ELECTROPHYSIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MIDWEST HEART AND VASCULAR SPECIALISTS LLC
	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	7618122417
	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	76
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2330 E MEYER BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 509
	Group Practice or individual's line 2 address
City	KANSAS CITY
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	641321143
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8162764800
	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	260183
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y