Physician Compare National (NPI:1851559884)

HEALTHCARE PROVIDER: MONICA M MADRAY 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	1851559884
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911039953
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100709000612
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MADRAY
	Individual professional last name
Provider First Name	MONICA
	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.

Medical School Information
Medical School Name	UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	OLIVER STREET 5.01(A) INC.
	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	0042464125
	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	133
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1401 MEDICAL PKWY BUILD
	Group Practice or individual's line 1 address
Line 2 Street Address	300 DERMATOLOGY ASSOCIATES
	Group Practice or individual's line 2 address
City	CEDAR PARK
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	786135014
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5122605860
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y