Physician Compare National (NPI:1336324144)

HEALTHCARE PROVIDER: LEO O NORAGBON MD, MBA

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

Individual Professional Information
NPI	1336324144
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355401019
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081125000621
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NORAGBON
	Individual professional last name
Provider First Name	LEO
	Individual professional first name
Provider Middle Name	O
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MOREHOUSE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROPSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROPSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1821 CLIFTON RD NE
	Group Practice or individual's line 1 address
City	ATLANTA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	303294021
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110092
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DODGE COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110107
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CENTER, NAVICENT HEALTH (THE)
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y