Physician Compare National (NPI:1770562050)

HEALTHCARE PROVIDER: DANIEL B REESE 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	1770562050
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719057009
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120215000612
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REESE
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	BURTON
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL CARDIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL CARDIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	EAST MOUNTAIN HEALTH PHYSICIANS 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	9133405327
	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	61
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1000 TAVERN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	MARTINSBURG
	Group Practice or individual's city
State	WV
	Group Practice or individual's state
Zip Code	254012853
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3042649485
	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	490005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WINCHESTER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y