Physician Compare National (NPI:1912125451)

HEALTHCARE PROVIDER: CURTIS E STORY JR. 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	1912125451
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890837587
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100830000748
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STORY
	Individual professional last name
Provider First Name	CURTIS
	Individual professional first name
Provider Middle Name	E
	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	UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	17912 TOLEDO BLADE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	PORT CHARLOTTE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	339481021
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100236
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FAWCETT MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100087
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SARASOTA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100077
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAYFRONT HEALTH PORT CHARLOTTE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100267
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ENGLEWOOD COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y