Physician Compare National (NPI:1770734782)

HEALTHCARE PROVIDER: AVRILLE B GEORGE 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	1770734782
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426227331
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110811000019
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GEORGE
	Individual professional last name
Provider First Name	AVRILLE
	Individual professional first name
Provider Middle Name	BEVERLY
	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	2006
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5606 BEAR RD
	Group Practice or individual's line 1 address
City	SYRACUSE
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	132121648
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	240002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ESSENTIA HEALTH ST MARY'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330218
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OSWEGO HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	330125
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ROCHESTER GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330211
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CLAXTON-HEPBURN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y