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Physician Compare National (NPI:1942474721)

HEALTHCARE PROVIDER: ELTANYA A. PATTERSON 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 1942474721
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4183756208
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180307001487
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PATTERSON
Individual professional last name
Provider First Name ELTANYA
Individual professional first 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 2004
Individual professional's medical school graduation year
Primary Specialty HOSPITALIST
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 FAMILY MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties FAMILY MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name POST ACUTE SPECIALISTS LLC
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 1951676568
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 74
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 101 13TH ST
Group Practice or individual's line 1 address
City HUNTINGTON
Group Practice or individual's city
State WV
Group Practice or individual's state
Zip Code 257011653
Group Practice or individual's zip code (9 digits when available)
Phone Number 3145182472
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 010085
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 DECATUR MORGAN HOSPITAL - DECATUR CAMPUS
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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