Physician Compare National (NPI:1720485725)

HEALTHCARE PROVIDER: PATRICIA ROEBER PETROSKY NP

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

Individual Professional Information
NPI	1720485725
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860797909
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160226001185
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PETROSKY
	Individual professional last name
Provider First Name	PATRICIA
	Individual professional first name
Provider Middle Name	ROEBER
	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
Organization Legal Name	RADIOLOGY IMAGING ASSOCIATES 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	2860391257
	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	120
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8200 E BELLEVIEW AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	600E RIA ENDOVASCULAR
	Group Practice or individual's line 2 address
City	GREENWOOD VILLAGE
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	801112898
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7204933406
	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	060034
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060064
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CENTURA HEALTH-PORTER ADVENTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y