Physician Compare National (NPI:1225098759)

HEALTHCARE PROVIDER: TODD WHITNEY HEILSKOV 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	1225098759
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193617215
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100817000139
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEILSKOV
	Individual professional last name
Provider First Name	TODD
	Individual professional first name
Provider Middle Name	W
	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 IOWA, RJ & L CARVER COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	IOWA RETINA CONSULTANTS, 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	2062304173
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3121 4TH ST SW
	Group Practice or individual's line 1 address
Line 2 Street Address	NORTH IOWA EYE CLINIC
	Group Practice or individual's line 2 address
City	MASON CITY
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	504011581
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6414238861
	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