Physician Compare National (NPI:1619085974)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1619085974
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921167123
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081103000394
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCCALMAN
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Name Suffix Text	II
	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	UNIVERSITY OF ALABAMA SCHOOL 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	135 MEDICAL PARK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	1A
	Group Practice or individual's line 2 address
City	ANDALUSIA
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	364205353
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010036
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ANDALUSIA REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010007
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MIZELL MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y