Physician Compare National (NPI:1144514258)

HEALTHCARE PROVIDER: ALEXIS GUY WORTLEY 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	1144514258
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628204245
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140719000105
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WORTLEY
	Individual professional last name
Provider First Name	ALEXIS
	Individual professional first name
Provider Middle Name	GUY
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	2011
	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	QUESTCARE MEDICAL SERVICES PLLC
	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	6204739402
	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	127
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	727 W BAILEY BOSWELL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	MEDICAL CITY ER AT SAGINAW
	Group Practice or individual's line 2 address
City	SAGINAW
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	761791011
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6823122444
	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	450651
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y