Physician Compare National (NPI:1336184936)

HEALTHCARE PROVIDER: EVE GRACE CIEUTAT 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	1336184936
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183614514
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120511000246
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CIEUTAT
	Individual professional last name
Provider First Name	EVE
	Individual professional first 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	TULANE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	THORACIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SAINT FRANCIS PHYSICIAN NETWORK, 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	2365701943
	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	83
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6005 PARK AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 802
	Group Practice or individual's line 2 address
City	MEMPHIS
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	381195218
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9012360508
	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	450788
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE CORPUS CHRISTI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100226
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ORANGE PARK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450651
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y