Physician Compare National (NPI:1831452309)

HEALTHCARE PROVIDER: COREY A LINEBAUGH CRNA

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

Individual Professional Information
NPI	1831452309
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244496792
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170914003209
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LINEBAUGH
	Individual professional last name
Provider First Name	COREY
	Individual professional first name
Provider Middle Name	ANDREW
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ANESTHESIA CARE PARTNERS LLC
	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	9830472323
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	10212 GOVERNOR LANE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 1004
	Group Practice or individual's line 2 address
City	WILLIAMSPORT
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	217954088
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7172629711
	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