Physician Compare National (NPI:1710381611)

HEALTHCARE PROVIDER: LINDSAY TWAROG NP-C

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

Individual Professional Information
NPI	1710381611
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688998438
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150130000316
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TWAROG
	Individual professional last name
Provider First Name	LINDSAY
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	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
Line 1 Street Address	3948 CENTRAL AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	SHADYSIDE
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	439471310
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	510013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	REYNOLDS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	510050
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WHEELING HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y