Physician Compare National (NPI:1720369416)

HEALTHCARE PROVIDER: MATTHEW PATRICK SMOYER PA-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	1720369416
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254503386
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111013000128
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SMOYER
	Individual professional last name
Provider First Name	MATTHEW
	Individual professional first name
Provider Middle Name	PATRICK
	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	2011
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ORTHOWEST PC
	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	8921086893
	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	68
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	933 E PIERCE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	JENNIE EDMUNDSON MEMORIAL HOSPITAL
	Group Practice or individual's line 2 address
City	COUNCIL BLUFFS
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	515034626
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7123966000
	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	280129
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NEBRASKA ORTHOPAEDIC HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y