Physician Compare National (NPI:1316023708)

HEALTHCARE PROVIDER: VIVIAN CHAMBERS ABOKO-COLE HICKS 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	1316023708
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830245117
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090929000359
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABOKO-COLE HICKS
	Individual professional last name
Provider First Name	VIVIAN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1971
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	600 SAINT CLAIR SWAVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 10
	Group Practice or individual's line 2 address
City	HUNTSVILLE
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	358015057
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HUNTSVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y