Physician Compare National (NPI:1619188034)

HEALTHCARE PROVIDER: MARIA NDEY 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	1619188034
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931358512
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130520000094
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NDEY
	Individual professional last name
Provider First Name	MARIA
	Individual professional first name
Provider Middle Name	ASSUMPTA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3830 N GRIMES ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE G
	Group Practice or individual's line 2 address
City	HOBBS
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	882401279
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	321305
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NOR-LEA HOSPITAL DISTRICT
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	320065
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LEA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M