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Physician Compare National (NPI:1871591891)

HEALTHCARE PROVIDER: RAYMOND GEORGE MCKAY 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 1871591891
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3971795865
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101011000747
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MCKAY
Individual professional last name
Provider First Name RAYMOND
Individual professional first name
Provider Middle Name GEORGE
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name HARVARD MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 1978
Individual professional's medical school graduation year
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERVENTIONAL CARDIOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERVENTIONAL CARDIOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS 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 3173866241
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 587
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 85 SEYMOUR ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1022
Group Practice or individual's line 2 address
City HARTFORD
Group Practice or individual's city
State CT
Group Practice or individual's state
Zip Code 061065530
Group Practice or individual's zip code (9 digits when available)
Phone Number 8609723570
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 070025
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HARTFORD HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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