Physician Compare National (NPI:1205855038)

HEALTHCARE PROVIDER: MARY H CZUK 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	1205855038
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800947615
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090707000387
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CZUK
	Individual professional last name
Provider First Name	MARY
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MULTICARE HEALTH SYSTEM
	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	7719899897
	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	1429
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	315 MLK JR WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	MC HEM ONC CLINIC
	Group Practice or individual's line 2 address
City	TACOMA
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	984054234
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2534031677
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y