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Physician Compare National (NPI:1891993374)

HEALTHCARE PROVIDER: WOLFGANG HANS CERWINKA 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 1891993374
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1557432259
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080624000762
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CERWINKA
Individual professional last name
Provider First Name WOLFGANG
Individual professional first name
Provider Middle Name H
Individual professional middle name
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 1995
Individual professional's medical school graduation year
Primary Specialty UROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name GEORGIA UROLOGY, PA
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 8921094376
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 62
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 5730 GLENRIDGE DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 200
Group Practice or individual's line 2 address
City ATLANTA
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 303285579
Group Practice or individual's zip code (9 digits when available)
Phone Number 4042561844
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

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