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Physician Compare National (NPI:1770560997)

HEALTHCARE PROVIDER: NONA CUNNINGHAM 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 1770560997
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4587717525
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100216000177
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CUNNINGHAM
Individual professional last name
Provider First Name NONA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name HOWARD UNIVERSITY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1985
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 599 SIR FRANCIS DRAKE BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 202
Group Practice or individual's line 2 address
City GREENBRAE
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 949041731
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 050360
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MARIN GENERAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 050131
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 NOVATO COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 050047
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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