Physician Compare National (NPI:1780699330)

HEALTHCARE PROVIDER: FRANK ADAM GREATHOUSE 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	1780699330
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325102536
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090203000611
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GREATHOUSE
	Individual professional last name
Provider First Name	FRANK
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTHWOODS FAMILY MEDICINE 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	0648554741
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1301 E PALMER WASILLA HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 400
	Group Practice or individual's line 2 address
City	WASILLA
	Group Practice or individual's city
State	AK
	Group Practice or individual's state
Zip Code	996547257
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9073579400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y