Physician Compare National (NPI:1073601944)

HEALTHCARE PROVIDER: IRENE MARIE MAYER M.D.

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

Individual Professional Information
NPI	1073601944
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062579584
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090326000507
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAYER
	Individual professional last name
Provider First Name	IRENE
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	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	6500 W NEWBERRY RD
	Group Practice or individual's line 1 address
City	GAINESVILLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	326054300
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100204
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTH FLORIDA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100156
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAKE CITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y