Physician Compare National (NPI:1104374586)

HEALTHCARE PROVIDER: ALYSSA PAIK PHYSICIAN ASSISTANT

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

Individual Professional Information
NPI	1104374586
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456617760
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171206000111
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAIK
	Individual professional last name
Provider First Name	ALYSSA
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTHERN VIRGINIA CARENOW URGENT CARE LLC
	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	4284902057
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4995 WESTONE PLAZA
	Group Practice or individual's line 1 address
Line 2 Street Address	N VA CARENOW URGENT CARE
	Group Practice or individual's line 2 address
City	CHANTILLY
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	201512294
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5714413980
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y