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Physician Compare National (NPI:1972738607)

HEALTHCARE PROVIDER: WENDY NG 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 1972738607
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6103060199
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130912000541
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NG
Individual professional last name
Provider First Name WENDY
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2009
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 PEDIATRIC MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PEDIATRIC MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name LEGACY SALMON CREEK HOSPITAL
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 0446295711
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 155
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2211 NE 139TH ST
Group Practice or individual's line 1 address
City VANCOUVER
Group Practice or individual's city
State WA
Group Practice or individual's state
Zip Code 986862742
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 500150
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LEGACY SALMON CREEK HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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