Physician Compare National (NPI:1659506798)

HEALTHCARE PROVIDER: JAMES DANIEL HLAVACEK 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	1659506798
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234375908
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151021001915
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HLAVACEK
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Name Suffix Text	III
	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	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	LAFAYETTE HEALTH VENTURES 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	9335043074
	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	94
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	115 AUDUBON BLVD
	Group Practice or individual's line 1 address
City	LAFAYETTE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705032606
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3372898933
	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	100093
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100266
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GULF BREEZE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190002
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LAFAYETTE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y