Physician Compare National (NPI:1730198870)

HEALTHCARE PROVIDER: DEANA L COURIER 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	1730198870
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032240072
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100708000404
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COURIER
	Individual professional last name
Provider First Name	DEANA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	MERCY HEALTH SYSTEM CORPORATION
	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	7416860440
	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	435
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1000 MINERAL POINT AVE
	Group Practice or individual's line 1 address
City	JANESVILLE
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	535482940
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	521357
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY WALWORTH HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y