Physician Compare National (NPI:1033200183)

HEALTHCARE PROVIDER: PENNY ATTAWAY DNP

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

Individual Professional Information
NPI	1033200183
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466360052
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160203002470
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ATTAWAY
	Individual professional last name
Provider First Name	PENNY
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1404 N 5TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	MEDICAL SERVICES UNLIMITED
	Group Practice or individual's line 2 address
City	VANDALIA
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	624711039
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6182832000
	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	140189
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SARAH BUSH LINCOLN HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	141346
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FAYETTE COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y