Physician Compare National (NPI:1962483347)

HEALTHCARE PROVIDER: BRIAN OLSHANSKY 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	1962483347
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062552110
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100119000137
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OLSHANSKY
	Individual professional last name
Provider First Name	BRIAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC ELECTROPHYSIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTH IOWA MERCY CLINICS
	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	7810809076
	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	200
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1000 4TH ST SW
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	MASON CITY
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	504012800
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	160064
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER-NORTH IOWA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	160067
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COVENANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	161353
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KOSSUTH REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	161308
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	FRANKLIN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y