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Physician Compare National (NPI:1174500276)

HEALTHCARE PROVIDER: AUSTIN J. BOYLE III M.D.

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

Individual Professional Information

NPI 1174500276
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9739243858
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090204000059
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BOYLE
Individual professional last name
Provider First Name AUSTIN
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Name Suffix Text III
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 UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty ORTHOPEDIC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name AURORA MEDICAL GROUP, 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 6709794258
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 2554
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9000 W SURA LN
Group Practice or individual's line 1 address
City GREENFIELD
Group Practice or individual's city
State WI
Group Practice or individual's state
Zip Code 532283477
Group Practice or individual's zip code (9 digits when available)
Phone Number 4142466800
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 520139
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 WEST ALLIS MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 520138
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 AURORA ST LUKES MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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