Physician Compare National (NPI:1013920362)

HEALTHCARE PROVIDER: CORWIN ASHFORD THOMAS D.O.

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

Individual Professional Information
NPI	1013920362
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315998986
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050202000000
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOMAS
	Individual professional last name
Provider First Name	CORWIN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	802 E FARREL RD
	Group Practice or individual's line 1 address
Line 2 Street Address	CORWIN A. THOMAS D.O. FACC
	Group Practice or individual's line 2 address
City	LAFAYETTE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705087208
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAFAYETTE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190034
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ABBEVILLE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190017
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OPELOUSAS GENERAL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	190054
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	IBERIA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y