Physician Compare National (NPI:1366711293)

HEALTHCARE PROVIDER: GABRIEL ARCADIO ROCHA PA-C

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

Individual Professional Information
NPI	1366711293
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527284819
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140722002192
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROCHA
	Individual professional last name
Provider First Name	GABRIEL
	Individual professional first name
Provider Middle Name	ARCADIO
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10734 B MONROE RD
	Group Practice or individual's line 1 address
City	MATTHEWS
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	281058397
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y