Physician Compare National (NPI:1700841145)

HEALTHCARE PROVIDER: JASON BRANDT SIGMON 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	1700841145
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870482227
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181212000676
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIGMON
	Individual professional last name
Provider First Name	JASON
	Individual professional first name
Provider Middle Name	BRANDT
	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	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	YAMPA VALLEY MEDICAL CENTER
	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	5890685689
	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	81
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	940 CENTRAL PARK DR
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	STEAMBOAT SPRINGS
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	804878853
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	060049
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UCHEALTH YAMPA VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y