Physician Compare National (NPI:1114951506)

HEALTHCARE PROVIDER: ROBIN DEMI ROSS M.D., M.P.H

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

Individual Professional Information
NPI	1114951506
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678663259
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170614001316
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSS
	Individual professional last name
Provider First Name	ROBIN
	Individual professional first name
Provider Middle Name	DEMI
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4835 E CACTUS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	SCOTTSDALE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	852544192
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y