Physician Compare National (NPI:1790760379)

HEALTHCARE PROVIDER: MARJORIE A CHORNESS 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	1790760379
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901703156
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120215000858
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHORNESS
	Individual professional last name
Provider First Name	MARJORIE
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF WISCONSIN
	Individual professional's medical school
Graduation Year	1988
	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	420 THE PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C
	Group Practice or individual's line 2 address
City	GREER
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	296505206
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420102
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GHS PATEWOOD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	420023
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST FRANCIS-DOWNTOWN
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y