Physician Compare National (NPI:1184605461)

HEALTHCARE PROVIDER: CONWORTH L DAYTON-JONES 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	1184605461
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517027394
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081208000448
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAYTON-JONES
	Individual professional last name
Provider First Name	CONWORTH
	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	GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PENINSULA REGIONAL MEDICAL CENTER
	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	3072509702
	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	193
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	262 TILGHMAN RD
	Group Practice or individual's line 1 address
City	SALISBURY
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	218041921
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4107427246
	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	210019
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PENINSULA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y