Physician Compare National (NPI:1124024245)

HEALTHCARE PROVIDER: HAROLD ARTHUR WOODCOME JR. MD

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

Individual Professional Information
NPI	1124024245
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648285429
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110104000315
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WOODCOME
	Individual professional last name
Provider First Name	HAROLD
	Individual professional first name
Provider Middle Name	ARTHUR
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BOSTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RETINA CONSULTANTS INC
	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	0749295525
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	690 EDDY ST
	Group Practice or individual's line 1 address
City	PROVIDENCE
	Group Practice or individual's city
State	RI
	Group Practice or individual's state
Zip Code	029034928
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4012745844
	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