Physician Compare National (NPI:1740421551)

HEALTHCARE PROVIDER: ERNESTO LOPEZ-CORONA 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	1740421551
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719031236
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090819000086
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LOPEZ CORONA
	Individual professional last name
Provider First Name	ERNESTO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HAYS MEDICAL CENTER 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	1557279676
	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	116
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2214 CANTERBURY DR
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	HAYS
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	676012375
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HAYS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	171362
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CITIZENS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	171372
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SCOTT COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	170023
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST CATHERINE HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	170175
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WESTERN PLAINS MEDICAL COMPLEX
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1740421551)

HEALTHCARE PROVIDER: ERNESTO LOPEZ-CORONA M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information