Physician Compare National (NPI:1881767531)

HEALTHCARE PROVIDER: ROBERT MARSHALL THARP JR. O.D.

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

Individual Professional Information
NPI	1881767531
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618092750
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101004000048
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THARP
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	MARSHALL
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ROBERT MARSHALL THARP, JR, OD, 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	2466355391
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6351 I 55
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 115B
	Group Practice or individual's line 2 address
City	JACKSON
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	392137861
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6019919723
	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	M