Physician Compare National (NPI:1023218021)

HEALTHCARE PROVIDER: JULIANNE M SANTAROSA 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	1023218021
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799922902
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141006001420
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANTAROSA
	Individual professional last name
Provider First Name	JULIANNE
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8220 WALNUT HILL LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 616
	Group Practice or individual's line 2 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752314424
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450051
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST DALLAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450651
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	670067
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAYLOR ORTHOPEDIC AND SPINE HOSPITAL AT ARLINGTON
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	670073
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	METHODIST HOSPITAL FOR SURGERY
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450880
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BAYLOR SURGICAL HOSPITAL AT FORT WORTH
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1023218021)

HEALTHCARE PROVIDER: JULIANNE M SANTAROSA MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information