Physician Compare National (NPI:1730157892)

HEALTHCARE PROVIDER: GEORGE SHAYNE TOLIVER DO

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

Individual Professional Information
NPI	1730157892
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355233735
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040329001444
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TOLIVER
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	SHAYNE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	OSTEOPATHIC MANIPULATIVE MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1111 W SPRUCE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 22
	Group Practice or individual's line 2 address
City	YAKIMA
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	989023257
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5092486414
	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	500036
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	YAKIMA VALLEY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y