Physician Compare National (NPI:1225065980)

HEALTHCARE PROVIDER: HEATHER ANNE ELSNER-BOLDT M.D.

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

Individual Professional Information
NPI	1225065980
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204902463
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161020000840
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELSNER BOLDT
	Individual professional last name
Provider First Name	HEATHER
	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 MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	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	CAPITAL HEALTHCARE PC
	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	3779723309
	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	19
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6020 RICHMOND HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	ALEXANDRIA
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	223032157
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2679781993
	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