Physician Compare National (NPI:1265693873)

HEALTHCARE PROVIDER: EKINADESE ABURIME

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

Individual Professional Information
NPI	1265693873
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678899309
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161005003104
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABURIME
	Individual professional last name
Provider First Name	EKINADESE
	Individual professional first 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	2008
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PIEDMONT PROVIDERS 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	9830082825
	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	238
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1412 MILSTEAD AVE NE
	Group Practice or individual's line 1 address
City	CONYERS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300123877
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4043673558
	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	110091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT ROCKDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110018
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PIEDMONT NEWTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110191
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PIEDMONT HENRY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y