Physician Compare National (NPI:1730523531)

HEALTHCARE PROVIDER: JESSICA N DOTY 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	1730523531
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163723511
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190130002371
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOTY
	Individual professional last name
Provider First Name	JESSICA
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3580 RC LUTTRELL DR
	Group Practice or individual's line 1 address
City	NORMAN
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	730729702
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y