Physician Compare National (NPI:1720048549)

HEALTHCARE PROVIDER: REX GARN MABEY JR. 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	1720048549
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597949545
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110415000338
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MABEY
	Individual professional last name
Provider First Name	REX
	Individual professional first name
Provider Middle Name	G
	Individual professional middle 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	1985
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2881 N TENAYA WAY
	Group Practice or individual's line 1 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891280452
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNTAINVIEW HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y