Physician Compare National (NPI:1114913308)

HEALTHCARE PROVIDER: CAROLYN A HOUSS 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	1114913308
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618127796
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121025000779
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOUSS
	Individual professional last name
Provider First Name	CAROLYN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3345 BURNS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	PALM BEACH GARDENS
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334104304
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y