Physician Compare National (NPI:1053635714)

HEALTHCARE PROVIDER: DOMENIC ANGELO TURCO D.O.

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

Individual Professional Information
NPI	1053635714
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971735341
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140417001091
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TURCO
	Individual professional last name
Provider First Name	DOMENIC
	Individual professional first name
Provider Middle Name	ANGELO
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEIMER EYE CARE ASSOCIATES, P.C.
	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	6204847486
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	154 HOSPITAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	TYRONE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	166861829
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8146845210
	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	390268
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNT NITTANY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y