Physician Compare National (NPI:1902968886)

HEALTHCARE PROVIDER: WLADYSLAW BOBAK MD

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

Individual Professional Information
NPI	1902968886
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375692122
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090527000303
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOBAK
	Individual professional last name
Provider First Name	WLADYSLAW
	Individual professional first 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	1975
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	129 SIMPSON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	BROWNSVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	154179689
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7247855540
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390041
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIONTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390147
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MONONGAHELA VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y