Physician Compare National (NPI:1467448837)

HEALTHCARE PROVIDER: VONDA GALE HOUCHIN 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	1467448837
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012040165
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100806000631
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOUCHIN
	Individual professional last name
Provider First Name	VONDA
	Individual professional first name
Provider Middle Name	GAIL
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	802 N ILLINOIS ST
	Group Practice or individual's line 1 address
City	HARRISBURG
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	724321132
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040020
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST BERNARDS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040118
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NEA BAPTIST MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	041307
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CROSSRIDGE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y