Physician Compare National (NPI:1225008931)

HEALTHCARE PROVIDER: JAMES LEO ZUKAITIS 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	1225008931
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002008760
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101013000456
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZUKAITIS
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	LEO
	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 NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9201 W THOMAS RD
	Group Practice or individual's line 1 address
City	PHOENIX
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	850373332
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y