Physician Compare National (NPI:1952341646)

HEALTHCARE PROVIDER: JASON TRONETTI DO

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

Individual Professional Information
NPI	1952341646
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668537762
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101118000032
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TRONETTI
	Individual professional last name
Provider First Name	JASON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1999
	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
Organization Legal Name	CHARLES COLE MEMORIAL HOSPITAL
	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	3779487475
	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	50
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	438 E 2ND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	UPMC COLE DENTISTRY
	Group Practice or individual's line 2 address
City	COUDERSPORT
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	169159430
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8142745252
	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	391313
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHARLES COLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330103
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OLEAN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390045
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WILLIAMSPORT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y