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Physician Compare National (NPI:1407890809)

HEALTHCARE PROVIDER: SARA L WINTERS PA

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

Individual Professional Information

NPI 1407890809
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5395758445
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060713000264
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WINTERS
Individual professional last name
Provider First Name SARA
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text PA
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 OTHER
Individual professional's medical school
Graduation Year 2005
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

Organization Legal Name MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC
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 0345152443
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 403
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1303 S MAIN ST
Group Practice or individual's line 1 address
City HOLMEN
Group Practice or individual's city
State WI
Group Practice or individual's state
Zip Code 546368927
Group Practice or individual's zip code (9 digits when available)
Phone Number 6085263351
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 520004
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER INC
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 161318
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 VETERANS MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 521330
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 CROSSING RIVERS HEALTH MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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