Physician Compare National (NPI:1699188664)

HEALTHCARE PROVIDER: JESSICA ROSE PARKHURST 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	1699188664
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567687346
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190820001424
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PARKHURST
	Individual professional last name
Provider First Name	JESSICA
	Individual professional first name
Provider Middle Name	ROSE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	RADIATION ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	IOWA CITY CANCER TREATMENT CENTER LLC
	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	9335444140
	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	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3010 NORTHGATE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	IOWA CITY
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	522459572
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3193548777
	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	160029
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y