Physician Compare National (NPI:1700123916)

HEALTHCARE PROVIDER: LAURA JANE HOLSEY 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	1700123916
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567787195
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150202001875
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOLSEY
	Individual professional last name
Provider First Name	LAURA
	Individual professional first name
Provider Middle Name	JANE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1800 S DOUGLAS BLVD
	Group Practice or individual's line 1 address
City	MIDWEST CITY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	731306224
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y