Physician Compare National (NPI:1124093257)

HEALTHCARE PROVIDER: JAMES JOHN AIELLO 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	1124093257
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062493539
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130814000809
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AIELLO
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PARAGON EMERGENCY SERVICES 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	8628153087
	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	213
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	10910 SAN JOSE BLVD
	Group Practice or individual's line 1 address
City	JACKSONVILLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	322236615
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9047026111
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100321
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENTS MEDICAL CENTER - CLAY COUNTY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100040
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST VINCENT'S MEDICAL CENTER RIVERSIDE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100179
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HOSPITAL JACKSONVILLE
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y