Physician Compare National (NPI:1912962325)

HEALTHCARE PROVIDER: PETER KENT THRUSH 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	1912962325
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779656285
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080716000734
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THRUSH
	Individual professional last name
Provider First Name	PETER
	Individual professional first name
Provider Middle Name	KENT
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	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	1708 LOCUST AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	FAIRMONT
	Group Practice or individual's city
State	WV
	Group Practice or individual's state
Zip Code	265541332
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3043662151
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y