Physician Compare National (NPI:1700936002)

HEALTHCARE PROVIDER: JOHN P WHITECAR JR. 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	1700936002
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719070853
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070906000480
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WHITECAR
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Name Suffix Text	JR.
	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	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1964
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BAPTIST MEMORIAL HOSPITAL - GOLDEN TRIANGLE INC
	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	1456244623
	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	24
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2520 5TH ST N
	Group Practice or individual's line 1 address
Line 2 Street Address	BMH GOLDEN TRIANGLE
	Group Practice or individual's line 2 address
City	COLUMBUS
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	397052008
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6622441000
	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	250100
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250034
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAPTIST MEMORIAL HOSPITAL NORTH MS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	251307
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NOXUBEE GENERAL CRITICAL ACCESS HOSP
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y