Physician Compare National (NPI:1699797498)

HEALTHCARE PROVIDER: LOUIS H. MCCORMICK III 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	1699797498
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901985738
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080506000303
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCCORMICK
	Individual professional last name
Provider First Name	LOUIS
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	1976
	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	606 HAIFLEIGH ST
	Group Practice or individual's line 1 address
City	FRANKLIN
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705383731
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	191310
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FRANKLIN FOUNDATION HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIVERSITY HOSPITAL & CLINICS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y