Physician Compare National (NPI:1740441898)

HEALTHCARE PROVIDER: DANIEL S LERNER 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	1740441898
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789862202
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120714000002
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LERNER
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CENTRAL OREGON RADIOLOGY ASSOC PC
	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	9335132091
	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	32
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	37 VALLEY RD
	Group Practice or individual's line 1 address
City	MANHASSET
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	110301441
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5763651039
	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	380047
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST CHARLES MEDICAL CENTER - BEND
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	381305
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BLUE MOUNTAIN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	381309
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LAKE DISTRICT HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	381306
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WALLOWA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	381313
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST CHARLES PRINEVILLE
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	M

Physician Compare National (NPI:1740441898)

HEALTHCARE PROVIDER: DANIEL S LERNER MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information