Physician Compare National (NPI:1609891803)

HEALTHCARE PROVIDER: CHARLES S. DRUMMOND 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	1609891803
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163462896
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050511000961
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DRUMMOND
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Middle Name	S
	Individual professional middle 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.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	THORACIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	THORACIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	315 NW ATLANTIC ST
	Group Practice or individual's line 1 address
City	TULLAHOMA
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373883566
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9318413948
	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	440007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y