Physician Compare National (NPI:1699090514)

HEALTHCARE PROVIDER: CHRISTOPHER TODD DOOLIN FNP-BC

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

Individual Professional Information
NPI	1699090514
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163687997
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120629000246
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOOLIN
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	T J HEALTH COLUMBIA 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	7113224783
	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	22
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	901 WESTLAKE DR
	Group Practice or individual's line 1 address
City	COLUMBIA
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	427281123
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2703844753
	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	180149
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TJ HEALTH COLUMBIA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180087
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TAYLOR REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y