Physician Compare National (NPI:1922059146)

HEALTHCARE PROVIDER: KERI ERLAND 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	1922059146
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082699962
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130205000441
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ERLAND
	Individual professional last name
Provider First Name	KERI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6023 N EAGLE RD
	Group Practice or individual's line 1 address
City	BOISE
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	837130997
	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
Hospital Affiliation CCN 3	130071
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST LUKE'S NAMPA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y