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Physician Compare National (NPI:1053335828)

HEALTHCARE PROVIDER: RICHARD RALSTON WHITLOCK JR. 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 1053335828
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0749362549
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120302000659
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WHITLOCK
Individual professional last name
Provider First Name RICHARD
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1974
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

Organization Legal Name UNIVERSITY CARDIOLOGY ASSOCIATES 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 7810164654
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 38
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 107 WALNUT LN
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 101
Group Practice or individual's line 2 address
City NORTH AUGUSTA
Group Practice or individual's city
State SC
Group Practice or individual's state
Zip Code 298608629
Group Practice or individual's zip code (9 digits when available)
Phone Number 8032027159
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 110028
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 UNIVERSITY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 421304
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 EDGEFIELD COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 110111
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 110109
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 EMANUEL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 111311
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 JENKINS COUNTY MEDICAL CENTER
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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