Physician Compare National (NPI:1851574966)

HEALTHCARE PROVIDER: MARIA B GAUDIO

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

Individual Professional Information
NPI	1851574966
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608047303
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110928000478
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GAUDIO
	Individual professional last name
Provider First Name	MARIA
	Individual professional first name
Provider Middle Name	BONITA
	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 PITTSBURGH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SPORTS MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7914 HWY 92 100
	Group Practice or individual's line 1 address
City	WOODSTOCK
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	301895238
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y