Physician Compare National (NPI:1710939756)

HEALTHCARE PROVIDER: DEAN E SMITH 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	1710939756
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547275984
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060213000330
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SMITH
	Individual professional last name
Provider First Name	DEAN
	Individual professional first 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	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10400 VISTA DEL SOL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 204
	Group Practice or individual's line 2 address
City	EL PASO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	799257924
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670047
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE HOSPITALS OF PROVIDENCE - EAST CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670120
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450002
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450877
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	FOUNDATION SURGICAL HOSPITAL OF EL PASO
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y