Physician Compare National (NPI:1487181574)

HEALTHCARE PROVIDER: CAITLYN ANNE FRANTZ NP-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	1487181574
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719255728
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170615002432
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRANTZ
	Individual professional last name
Provider First Name	CAITLYN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PROVIDENCE MEDICAL GROUP
	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	2860386349
	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	32
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2912 SPRINGBORO W
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	MORAINE
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	454391674
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360133
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRANDVIEW AND SOUTHVIEW HOSPITALS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360051
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MIAMI VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y