Physician Compare National (NPI:1730172008)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1730172008
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890749840
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050311000606
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GAINES
	Individual professional last name
Provider First Name	MARGARET
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	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	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	HOSPICE/PALLIATIVE CARE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	VPA 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	9234041948
	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	145
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	606 OAKESDALE AVE SW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C200
	Group Practice or individual's line 2 address
City	RENTON
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	980575227
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8662591629
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y