Physician Compare National (NPI:1598736845)

HEALTHCARE PROVIDER: CYNTHIA L ELLISON AU.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	1598736845
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476683806
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100611000320
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELLISON
	Individual professional last name
Provider First Name	CYNTHIA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FRANKLIN HEARING CENTER, PC
	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	9537329065
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4091 MALLORY LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 122
	Group Practice or individual's line 2 address
City	FRANKLIN
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	370644849
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6158071274
	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