Physician Compare National (NPI:1720306442)

HEALTHCARE PROVIDER: KHANH THIHONG DO 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	1720306442
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547583791
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141219001884
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DO
	Individual professional last name
Provider First Name	KHANH
	Individual professional first name
Provider Gender	F
	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	2010
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FORREST CITY EMERGENCY PHYSICIANS PLLC
	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	0648319624
	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	15
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2001 S MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	WADLEY REGIONAL MEDICAL CENTER AT HOPE
	Group Practice or individual's line 2 address
City	HOPE
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	718018124
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8707223800
	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	390329
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EINSTEIN MEDICAL CENTER MONTGOMERY
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y