Physician Compare National (NPI:1871706218)

HEALTHCARE PROVIDER: SHAWN GONDA MACALESTER D.O.

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

Individual Professional Information
NPI	1871706218
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446301402
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121025000075
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MACALESTER
	Individual professional last name
Provider First Name	SHAWN
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	545 SE OAK ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE F
	Group Practice or individual's line 2 address
City	HILLSBORO
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	971234147
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9712288855
	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	381302
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAMARITAN NORTH LINCOLN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	380051
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SALEM HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	380021
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TUALITY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	380056
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SANTIAM HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	381308
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	WEST VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1871706218)

HEALTHCARE PROVIDER: SHAWN GONDA MACALESTER D.O.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information