Physician Compare National (NPI:1295149102)

HEALTHCARE PROVIDER: AMIT SHARMA DO

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

Individual Professional Information
NPI	1295149102
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527339688
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170808001112
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHARMA
	Individual professional last name
Provider First Name	AMIT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2014
	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	ARNOT MEDICAL SERVICES PLLC
	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	0840450748
	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	169
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	455 MAPLE 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	BIG FLATS
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	148149701
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330090
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ARNOT OGDEN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y