Physician Compare National (NPI:1487708145)

HEALTHCARE PROVIDER: RITKY C DY 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	1487708145
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739333907
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130218000252
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DY
	Individual professional last name
Provider First Name	RITKY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
	Individual professional's medical school
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1221 7TH S ST
	Group Practice or individual's line 1 address
City	CLANTON
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	350453723
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010173
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENT'S CHILTON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y