Physician Compare National (NPI:1780877944)

HEALTHCARE PROVIDER: ROBERT JOSEPH AERTKER III 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	1780877944
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224182647
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090820000108
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AERTKER
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CROWLEY PRIMARY CARE LLC
	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	8527289974
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1325 WRIGHT AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	CROWLEY
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705262226
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3377834043
	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	190044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ACADIA GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAFAYETTE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	191319
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ACADIA ST LANDRY
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	191322
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ABROM KAPLAN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y