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Physician Compare National (NPI:1134194079)

HEALTHCARE PROVIDER: CHRISTINE MARIE VILLOCH 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 1134194079
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3173422607
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20140103000073
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name VILLOCH
Individual professional last name
Provider First Name CHRISTINE
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender F
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 UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1998
Individual professional's medical school graduation year
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name BAPTIST HEALTH MEDICAL GROUP PHYSICIANS 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 3870696933
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 318
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 8950 N KENDALL DR
Group Practice or individual's line 1 address
Line 2 Street Address 410W
Group Practice or individual's line 2 address
City MIAMI
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 331762127
Group Practice or individual's zip code (9 digits when available)
Phone Number 7865962225
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 140276
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LOYOLA UNIVERSITY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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