Physician Compare National (NPI:1871906974)

HEALTHCARE PROVIDER: CATHERINE LEE CANTWAY 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	1871906974
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658670435
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181106000739
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CANTWAY
	Individual professional last name
Provider First Name	CATHERINE
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	GERIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1600 MID VALLEY DR
	Group Practice or individual's line 1 address
City	STEAMBOAT SPRINGS
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	804879006
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	451331
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y