Physician Compare National (NPI:1811128051)

HEALTHCARE PROVIDER: RODERICK CECIL HUNTER JR. DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811128051
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567628159
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120726000158
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUNTER
	Individual professional last name
Provider First Name	RODERICK
	Individual professional first name
Provider Middle Name	CECIL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1600 COIT RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	Group Practice or individual's line 2 address
City	PLANO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750756172
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450651
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M