Physician Compare National (NPI:1285698720)

HEALTHCARE PROVIDER: JANET MARIE NETTLETON 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	1285698720
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557260569
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040216000915
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NETTLETON
	Individual professional last name
Provider First Name	JANET
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	EASTERN VIRGINIA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	RADIATION ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COCHISE ONCOLOGY LLC
	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	2567474083
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	300 EL CAMINO REAL
	Group Practice or individual's line 1 address
Line 2 Street Address	SEIRA REGIONAL HEALTH CENTER
	Group Practice or individual's line 2 address
City	SIERRA VISTA
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	856352812
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5204584641
	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	030043
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CANYON VISTA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	031312
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COPPER QUEEN COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	031301
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BENSON HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	031302
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NORTHERN COCHISE COMMUNITY HOSPITAL, INC.
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y