Physician Compare National (NPI:1740331016)

HEALTHCARE PROVIDER: JOHN E STANHOPE 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	1740331016
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486790748
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170823003396
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STANHOPE
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KANSAS CITY MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	955 LOOP
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 337
	Group Practice or individual's line 2 address
City	NEW BRAUNFELS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	781303556
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450237
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHRISTUS SANTA ROSA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	200024
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CENTRAL MAINE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y