Physician Compare National (NPI:1619949385)

HEALTHCARE PROVIDER: JAN POMIECKO 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	1619949385
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810962206
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040830000458
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	POMIECKO
	Individual professional last name
Provider First Name	JAN
	Individual professional first 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	OTHER
	Individual professional's medical school
Graduation Year	1997
	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	1668 LINCOLN WAY
	Group Practice or individual's line 1 address
City	WHITE OAK
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	151311714
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4126788740
	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	390002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UPMC MCKEESPORT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390164
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UPMC PRESBYTERIAN SHADYSIDE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390114
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390267
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	FORBES HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	M