Physician Compare National (NPI:1598928582)

HEALTHCARE PROVIDER: ANNETTE WEIS-MCNULTY MD PHD

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

Individual Professional Information
NPI	1598928582
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325225626
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180712000827
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEIS-MCNULTY
	Individual professional last name
Provider First Name	ANNETTE
	Individual professional first 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	1999
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RADIOLOGY PHYSICIAN SOLUTIONS OF WEST FLORIDA LLC
	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	3577876218
	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	119
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11005 RIVERWOOD DR
	Group Practice or individual's line 1 address
City	POTOMAC
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208541338
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100126
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PALMS OF PASADENA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100259
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTH BAY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100238
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTHSIDE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100248
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LARGO MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	100256
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	REGIONAL MEDICAL CENTER BAYONET POINT
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1598928582)

HEALTHCARE PROVIDER: ANNETTE WEIS-MCNULTY MD PHD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information