Physician Compare National (NPI:1316927767)

HEALTHCARE PROVIDER: JUNE REBECCA TUNSTALL 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	1316927767
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335209089
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081125000536
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TUNSTALL
	Individual professional last name
Provider First Name	JUNE
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1974
	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	401 HOPEWELL ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 405
	Group Practice or individual's line 2 address
City	HOPEWELL
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	238602817
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490020
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JOHN RANDOLPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490044
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SENTARA OBICI HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490067
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTHSIDE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	490066
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y