Physician Compare National (NPI:1992745533)

HEALTHCARE PROVIDER: HILTON J BAKKER 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	1992745533
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133118706
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100112000662
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAKKER
	Individual professional last name
Provider First Name	HILTON
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MERCY MEDICAL CENTER
	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	7416851381
	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	34
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1301 15TH AVE W
	Group Practice or individual's line 1 address
City	WILLISTON
	Group Practice or individual's city
State	ND
	Group Practice or individual's state
Zip Code	588013821
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7017747400
	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	351336
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI ST ALEXIUS HEALTH DICKINSON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	351334
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI ST ALEXIUS HEALTH WILLISTON
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	350006
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TRINITY HOSPITALS
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y