Physician Compare National (NPI:1851706428)

HEALTHCARE PROVIDER: DEANNA ZACIEK NP-C

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

Individual Professional Information
NPI	1851706428
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002033644
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140805003163
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZACIEK
	Individual professional last name
Provider First Name	DEANNA
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	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	635 N ERIE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	RM 002
	Group Practice or individual's line 2 address
City	TOLEDO
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	436045317
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360068
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROMEDICA TOLEDO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y