Physician Compare National (NPI:1932542891)

HEALTHCARE PROVIDER: EUN HO KO 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	1932542891
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759607211
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150302000162
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KO
	Individual professional last name
Provider First Name	EUN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HOSPITAL CARE CONSULTANTS REGION II INC
	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	8820197064
	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	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	501 N 14TH ST
	Group Practice or individual's line 1 address
City	PERRY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	730775021
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370218
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT FRANCIS HOSPITAL SOUTH, LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370091
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT FRANCIS HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	370139
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PERRY MEMORIAL HOSPITAL AUTHORITY
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y