Physician Compare National (NPI:1932455425)

HEALTHCARE PROVIDER: MELISSA P WHITNEY PA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932455425
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9537305834
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130410000613
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WHITNEY
	Individual professional last name
Provider First Name	MELISSA
	Individual professional first name
Provider Middle Name	P
	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	2012
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MEADE HOSPITAL DISTRICT
	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	4284609462
	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	510 E CARTHAGE BOX
	Group Practice or individual's line 1 address
Line 2 Street Address	820 MEADE DISTRICT HOSPITAL
	Group Practice or individual's line 2 address
City	MEADE
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	678646401
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6208732141
	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	171321
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEADE DISTRICT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y