Physician Compare National (NPI:1942442975)

HEALTHCARE PROVIDER: MICHAELA OSTRADICKY DPM

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

Individual Professional Information
NPI	1942442975
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648329110
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090513000311
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OSTRADICKY
	Individual professional last name
Provider First Name	MICHAELA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1702 DEXTER AVE N
	Group Practice or individual's line 1 address
City	SEATTLE
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	981093021
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y