Physician Compare National (NPI:1992797880)

HEALTHCARE PROVIDER: HEATHER KAY O'TOOLE 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	1992797880
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456359058
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061114000591
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OTOOLE
	Individual professional last name
Provider First Name	HEATHER
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
	Individual professional's medical school
Graduation Year	2000
	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	JOHN C LINCOLN LLC
	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	1557274057
	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	163
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6220 W BELL RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	GLENDALE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853083896
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y