Physician Compare National (NPI:1992987838)

HEALTHCARE PROVIDER: PAULA KADISON 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	1992987838
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123287877
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120315000524
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KADISON
	Individual professional last name
Provider First Name	PAULA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DUKE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	100 E MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	ASPEN
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	816111792
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	061324
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ASPEN VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060075
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	VALLEY VIEW HOSPITAL ASSOCIATION
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y