Physician Compare National (NPI:1295089548)

HEALTHCARE PROVIDER: RYAN ALDEN YOUTZ LIMHP, CMSW

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

Individual Professional Information
NPI	1295089548
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406131440
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170228001163
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YOUTZ
	Individual professional last name
Provider First Name	RYAN
	Individual professional first name
Provider Middle Name	A
	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	2014
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1449 S 12TH ST
	Group Practice or individual's line 1 address
City	OMAHA
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	681083538
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y