Physician Compare National (NPI:1477584381)

HEALTHCARE PROVIDER: JORGE RAUL ROMERO MD

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

Individual Professional Information
NPI	1477584381
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103955513
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100524000475
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROMERO
	Individual professional last name
Provider First Name	JORGE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OHIO PHYSICIAN PROFESSIONAL CORPORATION
	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	2668406059
	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	109
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2600 6TH SWST
	Group Practice or individual's line 1 address
City	CANTON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	447101702
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360084
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	AULTMAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y