Physician Compare National (NPI:1942599568)

HEALTHCARE PROVIDER: STEPHANIE REGINA WAPPEL M.D.

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

Individual Professional Information
NPI	1942599568
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971721564
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190827000835
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WAPPEL
	Individual professional last name
Provider First Name	STEPHANIE
	Individual professional first name
Provider Middle Name	R
	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	2011
	Individual professional's medical school graduation year
Primary Specialty	SLEEP MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PULMONARY DISEASE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE, PULMONARY DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	GREATER BALTIMORE MEDICAL CENTER, 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	1759276975
	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	294
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6565 N CHARLES ST
	Group Practice or individual's line 1 address
Line 2 Street Address	411 FAMILY CARE ASSOC GBMC
	Group Practice or individual's line 2 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212045803
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4438492707
	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	210044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GREATER BALTIMORE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y