Physician Compare National (NPI:1205812948)

HEALTHCARE PROVIDER: RICHARD BURNS CUNNINGHAM JR. 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	1205812948
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830271865
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200219000286
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CUNNINGHAM
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	1990
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MAGNOLIA PROFESSIONAL BILLING
	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	2860760279
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	611 ALCORN DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	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	388349323
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6622931000
	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	250009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAGNOLIA REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	300034
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CATHOLIC MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y