Physician Compare National (NPI:1093015091)

HEALTHCARE PROVIDER: PAWEL PATRYK JANKOWSKI 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	1093015091
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345585196
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181222000060
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JANKOWSKI
	Individual professional last name
Provider First Name	PAWEL
	Individual professional first name
Provider Middle Name	PATRYK
	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 WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	16405 SAND CANYON AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	IRVINE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926183786
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050224
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOAG MEMORIAL HOSPITAL PRESBYTERIAN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y