Physician Compare National (NPI:1891083689)

HEALTHCARE PROVIDER: RAPHAEL EZERA NWOJO M.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	1891083689
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608163944
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160929001882
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NWOJO
	Individual professional last name
Provider First Name	RAPHAEL
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	540 W 5TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	410 WEST TEXAS EAR NOSE THROAT AND SINUS INSTITUTE
	Group Practice or individual's line 2 address
City	ODESSA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	797615067
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450132
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CENTER HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y