Physician Compare National (NPI:1831208057)

HEALTHCARE PROVIDER: JEANNE M ADAMS 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	1831208057
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436310364
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120419000493
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADAMS
	Individual professional last name
Provider First Name	JEANNE
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	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
Line 1 Street Address	176 NE SCHOOL ST
	Group Practice or individual's line 1 address
City	CHEHALIS
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	985322640
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3607488272
	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	500019
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE CENTRALIA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y