Physician Compare National (NPI:1912909268)

HEALTHCARE PROVIDER: VITOLD GEORGE ZOCHOWSKI D.O.

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

Individual Professional Information
NPI	1912909268
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800829888
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110511000408
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZOCHOWSKI
	Individual professional last name
Provider First Name	VITOLD
	Individual professional first name
Provider Middle Name	GEORGE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	1972
	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	8200 HAZELTON ETNA RD SW
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	ETNA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	430629630
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360035
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNT CARMEL WEST
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360218
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LICKING MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360266
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360358
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	DILEY RIDGE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360006
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	RIVERSIDE METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1912909268)

HEALTHCARE PROVIDER: VITOLD GEORGE ZOCHOWSKI D.O.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information