Physician Compare National (NPI:1902891310)

HEALTHCARE PROVIDER: MARK RICHARD RANGITSCH 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	1902891310
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991618274
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160823002320
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RANGITSCH
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	RICHARD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	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
Organization Legal Name	DHP OF MISSOURI PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3678860426
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 MERCY WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 430
	Group Practice or individual's line 2 address
City	JOPLIN
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	648044524
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4175568757
	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	271332
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GLENDIVE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	530014
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHEYENNE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260001
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY HOSPITAL JOPLIN
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y