Physician Compare National (NPI:1245228014)

HEALTHCARE PROVIDER: STEPHANIE M FRONISTA-WARD 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	1245228014
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789708645
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100830000043
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRONISTA-WARD
	Individual professional last name
Provider First Name	STEPHANIE
	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	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	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	HUBER HEIGHTS MEDICAL CENTER 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	9739178419
	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	6096 BRANDT PIKE
	Group Practice or individual's line 1 address
City	HUBER HEIGHTS
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	454244015
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9372330132
	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	360051
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MIAMI VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360133
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GRANDVIEW AND SOUTHVIEW HOSPITALS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y