Physician Compare National (NPI:1740235423)

HEALTHCARE PROVIDER: CARLA DOWDY P.A.

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

Individual Professional Information
NPI	1740235423
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355395229
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160229000385
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOWDY
	Individual professional last name
Provider First Name	CARLA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	PA
	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	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DAHL MEMORIAL HEALTHCARE ASSOCIATION INC
	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	1658323373
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	215 SANDY ST
	Group Practice or individual's line 1 address
City	EKALAKA
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	593240046
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4067758739
	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	271302
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DAHL MEMORIAL HEALTHCARE ASSOCIATION
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	271301
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FALLON MEDICAL COMPLEX HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y