Physician Compare National (NPI:1972506863)

HEALTHCARE PROVIDER: ARIS MICHAEL SOPHOCLES II 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	1972506863
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052572120
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120417000446
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SOPHOCLES
	Individual professional last name
Provider First Name	ARIS
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1970
	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	1340 LEYDEN ST
	Group Practice or individual's line 1 address
City	DENVER
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	802202805
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	060032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROSE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y