Physician Compare National (NPI:1659360311)

HEALTHCARE PROVIDER: ROBERT JOSEPH AUDET JR. M.D.

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

Individual Professional Information
NPI	1659360311
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658554589
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110330000375
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AUDET
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ANESTHESIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERVENTIONAL PAIN MANAGEMENT
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	54 FRANKLIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	WEYERS CAVE
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	244862340
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490004
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SENTARA RMH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y