Physician Compare National (NPI:1104899129)

HEALTHCARE PROVIDER: ALPHONSUS LIGOURI FLANNERY MD

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

Individual Professional Information
NPI	1104899129
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294835815
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070712000063
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FLANNERY
	Individual professional last name
Provider First Name	ALPHONSUS
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1973
	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
Line 1 Street Address	703 ALCORN DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 106
	Group Practice or individual's line 2 address
City	CORINTH
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	388349302
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6622849906
	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	250002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TISHOMINGO HEALTH SERVICES INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250009
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MAGNOLIA REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	250044
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAPTIST MEMORIAL HOSPITAL BOONEVILLE
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y