Physician Compare National (NPI:1760605364)

HEALTHCARE PROVIDER: CAREY BERNARD RANSONE 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	1760605364
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860582392
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071220000347
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RANSONE
	Individual professional last name
Provider First Name	CAREY
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1505 STATE ST
	Group Practice or individual's line 1 address
City	LA PORTE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	463503115
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LA PORTE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150015
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150102
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	INDIANA UNIVERSITY HEALTH STARKE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150035
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PORTER REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y