Physician Compare National (NPI:1881701407)

HEALTHCARE PROVIDER: GEORGE P SPADY MD

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

Individual Professional Information
NPI	1881701407
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779532387
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110107000568
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SPADY
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Name Suffix Text	II
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	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	37060 CONNER RD
	Group Practice or individual's line 1 address
City	SOLDOTNA
	Group Practice or individual's city
State	AK
	Group Practice or individual's state
Zip Code	996698101
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	020024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CENTRAL PENINSULA GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M