Physician Compare National (NPI:1720078090)

HEALTHCARE PROVIDER: CURTIS RYAN GROTE MD

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

Individual Professional Information
NPI	1720078090
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062442288
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090319000222
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GROTE
	Individual professional last name
Provider First Name	CURTIS
	Individual professional first name
Provider Middle Name	RYAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CEC LA VERNIA ER PHYSICIANS PLLC
	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	6406287812
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	202 S FM 1346
	Group Practice or individual's line 1 address
Line 2 Street Address	102 COMPLETE EMERGENCY CARE LAVERNIA LLC
	Group Practice or individual's line 2 address
City	LAVERNIA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	781214282
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8302535099
	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	670190
	Medicare CCN of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y