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Physician Compare National (NPI:1740593136)

HEALTHCARE PROVIDER: JI HYUN RHEE

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

Individual Professional Information

NPI 1740593136
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2961722491
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20161004002136
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RHEE
Individual professional last name
Provider First Name JI HYUN
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name CHATTANOOGA MEDICAL COLLEGE
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty CRITICAL CARE (INTENSIVISTS)
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 PULMONARY DISEASE
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE, PULMONARY DISEASE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name GREATER BALTIMORE 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 1759276975
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 294
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 6701 N CHARLES ST
Group Practice or individual's line 1 address
Marker of address line 2 suppression Y
Marker that address as reported may be incomplete
City BALTIMORE
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 212046808
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 210044
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 GREATER BALTIMORE MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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