Physician Compare National (NPI:1184856155)

HEALTHCARE PROVIDER: MONICA TRAN 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	1184856155
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901051952
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160222001787
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TRAN
	Individual professional last name
Provider First Name	MONICA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ST VINCENT'S AMBULATORY CARE 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	2860411188
	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	308
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	9504 CROSSHILL BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	JACKSONVILLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	322225851
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9043087792
	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	100040
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENT'S MEDICAL CENTER RIVERSIDE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100321
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST VINCENTS MEDICAL CENTER - CLAY COUNTY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y