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Physician Compare National (NPI:1831258375)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1831258375
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2163513300
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130816000157
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PILKINGTON
Individual professional last name
Provider First Name TRINITY
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty ORTHOPEDIC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name BAYHEALTH MEDICAL CENTER 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 1658364740
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 192
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 655 S BAY RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1F
Group Practice or individual's line 2 address
City DOVER
Group Practice or individual's city
State DE
Group Practice or individual's state
Zip Code 199014694
Group Practice or individual's zip code (9 digits when available)
Phone Number 3027304366
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 080009
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 BAYHEALTH - MILFORD MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 080004
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 BAYHEALTH HOSPITAL, KENT CAMPUS
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 080007
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 BEEBE MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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