Physician Compare National (NPI:1275731929)

HEALTHCARE PROVIDER: LESLIE F MASON 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	1275731929
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406007996
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121109000255
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MASON
	Individual professional last name
Provider First Name	LESLIE
	Individual professional first name
Provider Middle Name	FLANAGAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MADISON OB/GYN ASSOCIATES, 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	3274785746
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	115 FOUNTAINS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	MADISON
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	391106344
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6018530100
	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	250048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST DOMINIC-JACKSON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250102
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MISSISSIPPI BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	250136
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERIT HEALTH WOMEN'S HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M