Physician Compare National (NPI:1467567867)

HEALTHCARE PROVIDER: DAVID W PEELER 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	1467567867
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577649011
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080812000488
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PEELER
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	W
	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 TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	401 GETWELL DR
	Group Practice or individual's line 1 address
City	SENATOBIA
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	386682213
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440049
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST HEALTHCARE MEMPHIS HOSPITALS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y