Physician Compare National (NPI:1912021403)

HEALTHCARE PROVIDER: JUSTIN A BURTZ PA

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

Individual Professional Information
NPI	1912021403
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759465784
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080228000456
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURTZ
	Individual professional last name
Provider First Name	JUSTIN
	Individual professional first name
Provider Middle Name	A
	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	2004
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PANORAMA ORTHOPEDICS AND SPINE CENTER PC
	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	8426961087
	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	191
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1060 PLAZA DR
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	HIGHLANDS RANCH
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	801292344
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3032331223
	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	060113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LITTLETON ADVENTIST HOSPITAL, CENTURA HEALTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y