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Physician Compare National (NPI:1700888948)

HEALTHCARE PROVIDER: GARY LYNN ADSIT D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1700888948
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9638218563
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20091204000585
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ADSIT
Individual professional last name
Provider First Name GARY
Individual professional first name
Provider Middle Name LYNN
Individual professional middle name
Provider Name Suffix Text I
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 WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1971
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1900 W KEM RD
Group Practice or individual's line 1 address
City MARION
Group Practice or individual's city
State IN
Group Practice or individual's state
Zip Code 469521548
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 150011
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MARION GENERAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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