Physician Compare National (NPI:1235276163)

HEALTHCARE PROVIDER: DENISE MARIE DOBBINS KOWALIK OD

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

Individual Professional Information
NPI	1235276163
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416081179
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100817000441
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOBBINS
	Individual professional last name
Provider First Name	DENISE
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW ENGLAND COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	EPHRAIM MCDOWELL HEALTH RESOURCE 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	7517876956
	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	74
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1541 LEBANON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	DANVILLE
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	404228349
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8592394500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y