Physician Compare National (NPI:1902023278)

HEALTHCARE PROVIDER: SHAWN L PRICE 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	1902023278
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496948648
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110926000813
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRICE
	Individual professional last name
Provider First Name	SHAWN
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9407 WESTPORT RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	LOUISVILLE
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	402412315
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150069
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KING'S DAUGHTERS' HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180130
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAPTIST HEALTH LOUISVILLE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y