Physician Compare National (NPI:1962868430)

HEALTHCARE PROVIDER: BRITNEY ANN DOBROKA CRNA

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

Individual Professional Information
NPI	1962868430
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446556997
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160309000364
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOBROKA
	Individual professional last name
Provider First Name	BRITNEY
	Individual professional first name
Provider Middle Name	ANN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2616 HAYES AVE
	Group Practice or individual's line 1 address
City	SANDUSKY
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	448705311
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360137
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY HOSPITALS OF CLEVELAND
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y