Physician Compare National (NPI:1215969100)

HEALTHCARE PROVIDER: ELIZABETH F. HENSLEY PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1215969100
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830298207
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070626000313
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HENSLEY
	Individual professional last name
Provider First Name	ELIZABETH
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	PA
	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	DUKE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PULMONARY ASSOCIATES OF RICHMOND 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	8123095577
	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	51
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1000 BOULDERS PKWY
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	RICHMOND
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	232255515
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490136
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BON SECOURS ST FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490112
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CJW MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490118
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HENRICO DOCTORS' HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y