Physician Compare National (NPI:1801931761)

HEALTHCARE PROVIDER: KATHLEEN CROSBY CANSLER 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	1801931761
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840329967
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100528000379
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CANSLER
	Individual professional last name
Provider First Name	KATHLEEN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	RUTGERS NEW JERSEY MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3824 S JONES BLVD D
	Group Practice or individual's line 1 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891032451
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7027267230
	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