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Physician Compare National (NPI:1639520083)

HEALTHCARE PROVIDER: GABRIELLY MEURER COATTI 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 1639520083
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3476887936
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190703000698
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MEURER COATTI
Individual professional last name
Provider First Name GABRIELLY
Individual professional first name
Provider Middle Name NATHARA
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 2016
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 HOSPITALIST
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties HOSPITALIST
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name ACCOUNTABLE INPATIENT MEDICINE
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 5597090274
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 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 8130 LAKEWOOD MAIN ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 103
Group Practice or individual's line 2 address
City LAKEWOOD RANCH
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 342025068
Group Practice or individual's zip code (9 digits when available)
Phone Number 9182897085
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 100087
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SARASOTA MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 100299
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 LAKEWOOD RANCH MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 100070
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 VENICE REGIONAL BAYFRONT HEALTH
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 100166
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 DOCTORS HOSPITAL OF SARASOTA
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 100175
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 DESOTO MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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