Physician Compare National (NPI:1801895826)

HEALTHCARE PROVIDER: BRITT ASHLEY THEDINGER 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	1801895826
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517050040
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081028000460
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THEDINGER
	Individual professional last name
Provider First Name	BRITT
	Individual professional first name
Provider Middle Name	A
	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 KANSAS SCHOOL OF MED (KC/WICH/SAL)
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BRITT A THEDINGER MD PC
	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	8426116914
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	9202 W DODGE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	OMAHA
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	681143318
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4029333277
	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	280131
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MIDWEST SURGICAL HOSPITAL LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	280040
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE NEBRASKA METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y