Physician Compare National (NPI:1376520148)

HEALTHCARE PROVIDER: DAVID RONALD SQUIRES 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	1376520148
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022049402
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110215000482
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SQUIRES
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	RONALD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF UTAH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	MEDICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	AUGUSTA ONCOLOGY ASSOCIATES, P.C.
	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	8921089756
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3696 WHEELER RD
	Group Practice or individual's line 1 address
City	AUGUSTA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	309096520
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7067361830213
	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	110028
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110177
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DOCTORS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y