Physician Compare National (NPI:1194724245)

HEALTHCARE PROVIDER: ROBERT G PALERINO 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	1194724245
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991783839
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040908000691
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PALERINO
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	GEORGE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7141 MOON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	COLUMBUS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	319097293
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7062579998
	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	110129
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST FRANCIS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110064
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MIDTOWN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y