Physician Compare National (NPI:1528436177)

HEALTHCARE PROVIDER: LINDSAY MULINARO

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

Individual Professional Information
NPI	1528436177
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799094587
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151019000110
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MULINARO
	Individual professional last name
Provider First Name	LINDSAY
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ESKENAZI MEDICAL GROUP 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	4284546813
	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	108
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	720 ESKENAZI AVE OCC 2ND FLR
	Group Practice or individual's line 1 address
Line 2 Street Address	ESKENAZI HEALTH CENTER PRIMARY CARE
	Group Practice or individual's line 2 address
City	INDIANAPOLIS
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	462025166
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3178807000
	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	150024
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ESKENAZI HEALTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y