Physician Compare National (NPI:1023053329)

HEALTHCARE PROVIDER: SPENCER I ROZIN MD FACP

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

Individual Professional Information
NPI	1023053329
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072667955
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090811000569
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROZIN
	Individual professional last name
Provider First Name	SPENCER
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	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	721 WELLNESS WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 220
	Group Practice or individual's line 2 address
City	LAWRENCEVILLE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300453303
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110087
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GWINNETT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110005
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHSIDE HOSPITAL FORSYTH
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y