Physician Compare National (NPI:1922276153)

HEALTHCARE PROVIDER: JENNIFER VELASCO TING 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	1922276153
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123179256
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181228000933
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TING
	Individual professional last name
Provider First Name	JENNIFER
	Individual professional first name
Provider Middle Name	VELASCO
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	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	119 OAKFIELD DR
	Group Practice or individual's line 1 address
City	BRANDON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	335115779
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100206
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HOSPITAL OF TAMPA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100243
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BRANDON REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	420068
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TRMC OF ORANGEBURG & CALHOUN
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	270049
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST VINCENT HEALTHCARE
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	110215
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	PIEDMONT FAYETTE HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1922276153)

HEALTHCARE PROVIDER: JENNIFER VELASCO TING MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information