Physician Compare National (NPI:1558465237)

HEALTHCARE PROVIDER: VINCENT MARK YAVOREK 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	1558465237
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153310933
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040507000468
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YAVOREK
	Individual professional last name
Provider First Name	VINCENT
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10 MAPLE AVE
	Group Practice or individual's line 1 address
City	BLOOMFIELD
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	144699312
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330285
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STRONG MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330074
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	F F THOMPSON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330235
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	AUBURN COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330030
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NEWARK-WAYNE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y