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Physician Compare National (NPI:1750483863)

HEALTHCARE PROVIDER: ROBERT LIEN YIN 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 1750483863
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8325934466
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20140710002039
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name YIN
Individual professional last name
Provider First Name ROBERT
Individual professional first name
Provider Middle Name L
Individual professional middle 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 1981
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GASTROENTEROLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GASTROENTEROLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name OSF MULTI-SPECIALTY GROUP
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 3678889789
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 1247
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3500 LUDINGTON ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 210
Group Practice or individual's line 2 address
City ESCANABA
Group Practice or individual's city
State MI
Group Practice or individual's state
Zip Code 498294217
Group Practice or individual's zip code (9 digits when available)
Phone Number 9062334190
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 231337
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 OSF ST FRANCIS HOSPITAL AND MEDICAL GROUP
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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