Physician Compare National (NPI:1750445904)

HEALTHCARE PROVIDER: JOANNA B NARKIEWICZ-JODKO M.D.

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

Individual Professional Information
NPI	1750445904
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951443902
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100128000821
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NARKIEWICZ-JODKO
	Individual professional last name
Provider First Name	JOANNA
	Individual professional first name
Provider Middle Name	B
	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	1982
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2614 CLOVER ST
	Group Practice or individual's line 1 address
City	KLAMATH FALLS
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	976011132
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5418846233
	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	380050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SKY LAKES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	380009
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OHSU HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	380047
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST CHARLES MEDICAL CENTER - BEND
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	381309
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LAKE DISTRICT HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y