Physician Compare National (NPI:1568696243)

HEALTHCARE PROVIDER: GREGORY J. FERENZ D.O.

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

Individual Professional Information
NPI	1568696243
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305089491
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161216001001
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FERENZ
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ROCKY MOUNTAIN NEURODIAGNOSTICS PLLC
	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	2860734597
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1511 ONYX CIR
	Group Practice or individual's line 1 address
City	LONGMONT
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	805047805
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3037765298
	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	060031
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE CORE INSTITUTE SPECIALTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	060054
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	060100
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	AURORA SOUTH HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	060112
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SKY RIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1568696243)

HEALTHCARE PROVIDER: GREGORY J. FERENZ D.O.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information