Physician Compare National (NPI:1134612641)

HEALTHCARE PROVIDER: PATRICK WINFIELD LOEFFLER 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	1134612641
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052740826
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200330001481
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LOEFFLER
	Individual professional last name
Provider First Name	PATRICK
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2018
	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	HOSPITAL AUTHORITY OF CANDLER COUNTY
	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	5294623948
	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	15
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	400 CEDAR ST
	Group Practice or individual's line 1 address
City	METTER
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	304393338
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9126855741
	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	110086
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WASHINGTON COUNTY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110113
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BURKE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y