Physician Compare National (NPI:1184809956)

HEALTHCARE PROVIDER: WESLEY HARL ADAMS 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	1184809956
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052490679
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180502002266
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADAMS
	Individual professional last name
Provider First Name	WESLEY
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF UTAH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK
	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	8325942089
	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	18
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	515 E 1ST ST
	Group Practice or individual's line 1 address
City	SALIDA
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	812102805
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7195393581
	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	060008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAN LUIS VALLEY HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	061322
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HEART OF THE ROCKIES REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y