Physician Compare National (NPI:1316238892)

HEALTHCARE PROVIDER: EUNJUNG AMY WEIKLE D.O.

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

Individual Professional Information
NPI	1316238892
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921313438
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150812008807
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEIKLE
	Individual professional last name
Provider First Name	EUNJUNG
	Individual professional first name
Provider Middle Name	AMY
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	21 SPURS LANE SUBLEVEL
	Group Practice or individual's line 1 address
Line 2 Street Address	100 THE CENTER FOR SPECIAL SURGERY TCA
	Group Practice or individual's line 2 address
City	SAN ANTONIO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	782401669
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670055
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST STONE OAK HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y