Physician Compare National (NPI:1285862540)

HEALTHCARE PROVIDER: SARA L ROBERSON 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	1285862540
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062686082
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111130000746
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROBERSON
	Individual professional last name
Provider First Name	SARA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	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	MERCY HOSPITAL WALDRON
	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	5597658005
	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	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1341 W 6TH ST
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	WALDRON
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	729587642
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	041305
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HOSPITAL WALDRON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040062
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL FORT SMITH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	040055
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SPARKS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y