Individual Professional Information |
|
NPI
|
1811215833
|
|
Unique healthcare provider (clinician) ID assigned by NPPES
|
|
PECOS UID
|
2365688090
|
|
Unique individual clinician ID assigned by PECOS
|
|
Professional Enrollment ID
|
I20140904000461
|
|
Unique ID for the individual professional enrollment that is the source for the data in the observation
|
|
Provider Last Name
|
JOSLIN
|
|
Individual professional last name
|
|
Provider First Name
|
ASHLEY
|
|
Individual professional first name
|
|
Provider Middle Name
|
M
|
|
Individual professional middle name
|
|
Provider Gender
|
F
|
|
The provider's gender if the provider is a person.
|
Hospital(s) Affiliation Information |
|
Hospital Affiliation CCN 1
|
010033
|
|
Medicare CCN of hospital where individual professional provides service 1
|
|
Hospital Affiliation LBN 1
|
UNIVERSITY OF ALABAMA HOSPITAL
|
|
Legal business name of hospital where individual professional provides service 1
|
|
Hospital Affiliation CCN 2
|
010056
|
|
Medicare CCN of hospital where individual professional provides service 2
|
|
Hospital Affiliation LBN 2
|
ST VINCENT'S BIRMINGHAM
|
|
Legal business name of hospital where individual professional provides service 2
|
|
Hospital Affiliation CCN 3
|
010139
|
|
Medicare CCN of hospital where individual professional provides service 3
|
|
Hospital Affiliation LBN 3
|
BROOKWOOD BAPTIST MEDICAL CENTER
|
|
Legal business name of hospital where individual professional provides service 3
|
|
Hospital Affiliation CCN 4
|
010103
|
|
Medicare CCN of hospital where individual professional provides service 4
|
|
Hospital Affiliation LBN 4
|
PRINCETON BAPTIST MEDICAL CENTER
|
|
Legal business name of hospital where individual professional provides service 4
|
|
Professional Accepts Medicare Assignment
|
Y
|
|
|