Physician Compare National (NPI:1801241948)

HEALTHCARE PROVIDER: DORIS JANKOVITS CNP

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

Individual Professional Information
NPI	1801241948
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870884984
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160621001732
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JANKOVITS
	Individual professional last name
Provider First Name	DORIS
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	600 KENDAL DR
	Group Practice or individual's line 1 address
City	OBERLIN
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	440741900
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360172
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	361306
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY ALLEN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y