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Physician Compare National (NPI:1285653568)

HEALTHCARE PROVIDER: JOHN DAVID HUNGARLAND 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 1285653568
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1052416757
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070424000557
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HUNGARLAND
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name DAVID
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1997
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4545 RIVERSIDE DR
Group Practice or individual's line 1 address
Line 2 Street Address A
Group Practice or individual's line 2 address
City DANVILLE
Group Practice or individual's city
State VA
Group Practice or individual's state
Zip Code 245415173
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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