Physician Compare National (NPI:1124123666)

HEALTHCARE PROVIDER: RICHARD TIMOTHY MCGLAUGHLIN 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	1124123666
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123082302
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100616000775
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCGLAUGHLIN
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2660 10TH AVE S
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 610
	Group Practice or individual's line 2 address
City	BIRMINGHAM
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	352051627
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010056
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENT'S BIRMINGHAM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010114
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y