Physician Compare National (NPI:1982695649)

HEALTHCARE PROVIDER: GHOUS A. YASIN 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	1982695649
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113934241
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120315000591
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YASIN
	Individual professional last name
Provider First Name	GHOUS
	Individual professional first name
Provider Middle Name	A
	Individual professional middle 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	1991
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	277 DIVISION ST
	Group Practice or individual's line 1 address
City	NORTH TONAWANDA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	141204667
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7162601159
	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	330005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KALEIDA HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330078
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SISTERS OF CHARITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330102
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KENMORE MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330279
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MERCY HOSPITAL OF BUFFALO
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y