Physician Compare National (NPI:1891051942)

HEALTHCARE PROVIDER: LOUISE XIAN YE-LIEW 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	1891051942
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941426779
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191222000005
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YE-LIEW
	Individual professional last name
Provider First Name	LOUISE
	Individual professional first name
Provider Middle Name	XIAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1983 N SYNERGY PL
	Group Practice or individual's line 1 address
City	EAGLE
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	836167332
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	130007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT ALPHONSUS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	130006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST LUKE'S REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y