Physician Compare National (NPI:1346279981)

HEALTHCARE PROVIDER: EDGARDO MALDONADO 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	1346279981
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507846532
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131104000062
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MALDONADO
	Individual professional last name
Provider First Name	EDGARDO
	Individual professional first name
Provider Middle Name	GIL
	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 CENTRAL DEL CARIBE ESCUELA DE MEDICINA
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CORNERSTONE HEALTH CARE 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	4183538895
	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	268
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1208 EASTCHESTER DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	HIGH POINT
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	272653066
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3368022900
	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	340047
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTH CAROLINA BAPTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	340004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HIGH POINT REGIONAL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y