Physician Compare National (NPI:1396915898)

HEALTHCARE PROVIDER: WELDON ARNOLD MAUNEY III 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	1396915898
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890835433
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091212000120
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAUNEY
	Individual professional last name
Provider First Name	WELDON
	Individual professional first name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA
	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	3870584345
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	10123 US HWY 98 W
	Group Practice or individual's line 1 address
City	DESTIN
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	325505000
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8504846060
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y