Physician Compare National (NPI:1962558957)

HEALTHCARE PROVIDER: ALBERT OKINE PA-C., M.S.P.A.S.

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

Individual Professional Information
NPI	1962558957
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820199490
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070726000291
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OKINE
	Individual professional last name
Provider First Name	ALBERT
	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	2006
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RODNEY J DEAN MD, PC
	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	8628060654
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3549 SOUTHERN HILLS DR
	Group Practice or individual's line 1 address
City	SIOUX CITY
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	511064736
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7122746729
	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	161359
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BURGESS HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	160153
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY MEDICAL CENTER-SIOUX CITY
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	160146
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST LUKES REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y