Physician Compare National (NPI:1992706816)

HEALTHCARE PROVIDER: NANCY WENCHIN LIU 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	1992706816
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133153703
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120223000353
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIU
	Individual professional last name
Provider First Name	NANCY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	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	5250 FAR HILLS AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 250
	Group Practice or individual's line 2 address
City	KETTERING
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	454292353
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360079
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KETTERING MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360133
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GRANDVIEW AND SOUTHVIEW HOSPITALS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360239
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KETTERING MEDICAL CENTER - SYCAMORE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360051
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MIAMI VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360360
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SOIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1992706816)

HEALTHCARE PROVIDER: NANCY WENCHIN LIU MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information