Physician Compare National (NPI:1962407940)

HEALTHCARE PROVIDER: AMMAR AL-HALLAK 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	1962407940
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335046473
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100803001181
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AL HALLAK
	Individual professional last name
Provider First Name	AMMAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	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
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ARKANSAS METHODIST HOSPITAL CORP
	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	6608780119
	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	26
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	900 W KINGSHIGHWAY
	Group Practice or individual's line 1 address
City	PARAGOULD
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	724505942
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8702397000
	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	040039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ARKANSAS METHODIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040020
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST BERNARDS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	041330
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PIGGOTT COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	040118
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NEA BAPTIST MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y