Physician Compare National (NPI:1952336059)

HEALTHCARE PROVIDER: NEIL A NEDLEY 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	1952336059
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183608441
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150514002969
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NEDLEY
	Individual professional last name
Provider First Name	NEIL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GASTROENTEROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GASTROENTEROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	20601 W PAOLI LANE
	Group Practice or individual's line 1 address
City	WEIMAR
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	957360001
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050498
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUTTER AUBURN FAITH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050150
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SIERRA NEVADA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050309
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SUTTER ROSEVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y