Physician Compare National (NPI:1598875072)

HEALTHCARE PROVIDER: LINDA GERRITS MD

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

Individual Professional Information
NPI	1598875072
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254414766
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080206000711
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GERRITS
	Individual professional last name
Provider First Name	LINDA
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1220 LA VENTA DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 207
	Group Practice or individual's line 2 address
City	WESTLAKE VILLAGE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913613754
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y