Physician Compare National (NPI:1760456446)

HEALTHCARE PROVIDER: DALE R STEMPLE 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	1760456446
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103883145
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041213000383
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STEMPLE
	Individual professional last name
Provider First Name	DALE
	Individual professional first name
Provider Middle Name	ROBERT
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT
	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	9133227135
	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	22
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	60 EASTER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	TRINITY HOSPITAL SWING BED
	Group Practice or individual's line 2 address
City	WEAVERVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	960931229
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5306235541
	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	051315
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRINITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050764
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHASTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050280
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY MEDICAL CENTER REDDING
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y