Physician Compare National (NPI:1609395169)

HEALTHCARE PROVIDER: TARYN ASHLEY FIELDS PA-C

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

Individual Professional Information
NPI	1609395169
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557628633
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200513001521
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FIELDS
	Individual professional last name
Provider First Name	TARYN
	Individual professional first name
Provider Middle Name	ASHLEY
	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	2017
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BLUE RIDGE HEALTHCARE 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	9436159712
	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	222
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	117 FOOTHILLS DR
	Group Practice or individual's line 1 address
City	MORGANTON
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	286555152
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y