Physician Compare National (NPI:1346396561)

HEALTHCARE PROVIDER: MARY A MEDEIROS MD, MPH

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

Individual Professional Information
NPI	1346396561
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527149335
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080118000164
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MEDEIROS
	Individual professional last name
Provider First Name	MARY
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	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	PREVENTATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PREVENTATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	835 W CENTRAL ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 4
	Group Practice or individual's line 2 address
City	FRANKLIN
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	020383189
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7743184205
	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	220090
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MILFORD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y