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Physician Compare National (NPI:1649365792)

HEALTHCARE PROVIDER: FRANK WOOD PEYTON JR. 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 1649365792
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5597653543
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040310000364
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PEYTON
Individual professional last name
Provider First Name FRANK
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.
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 INDIANA UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty RADIATION ONCOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name CANCER CARE GROUP 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 1850295858
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 22
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 6100 W 96TH ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 125
Group Practice or individual's line 2 address
City INDIANAPOLIS
Group Practice or individual's city
State IN
Group Practice or individual's state
Zip Code 462786006
Group Practice or individual's zip code (9 digits when available)
Phone Number 3177151800
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 150084
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ST. VINCENT HOSPITALS AND HEALTH SERVICES
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 151329
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 MARGARET MARY COMMUNITY HOSPITAL INC
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 151332
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 DECATUR COUNTY MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 150086
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 DEARBORN COUNTY HOSPITAL
Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment Y

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