Physician Compare National (NPI:1174567705)

HEALTHCARE PROVIDER: REUBEN WENCIS TOVAR 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	1174567705
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577653534
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130501000475
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TOVAR
	Individual professional last name
Provider First Name	REUBEN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

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

Practice Information
Organization Legal Name	HNI MEDICAL SERVICES
	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	6406028810
	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	22
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4201 BELFORD RD
	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	322161431
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9564406300
	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	100025
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SACRED HEART HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450711
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RIO GRANDE REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	520089
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERITER HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450035
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST JOSEPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	520098
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1174567705)

HEALTHCARE PROVIDER: REUBEN WENCIS TOVAR M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information