Physician Compare National (NPI:1972734119)

HEALTHCARE PROVIDER: VLADIMIR ROYTER M.D.

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

Individual Professional Information
NPI	1972734119
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911044904
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091023000281
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROYTER
	Individual professional last name
Provider First Name	VLADIMIR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	VLADIMIR ROYTER MD A PROFESSIONAL MEDICAL CORPORATION
	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	7911202866
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	125 MALL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 209B
	Group Practice or individual's line 2 address
City	HANFORD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	932305794
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5595849000
	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	050121
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST HEALTH HANFORD
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050192
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVENTIST HEALTH REEDLEY
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050057
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KAWEAH DELTA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M