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Physician Compare National (NPI:1811309255)

HEALTHCARE PROVIDER: DON EARL MCCORMICK III 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 1811309255
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5193013712
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180712002452
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 DON
Individual professional first name
Provider Middle Name EARL
Individual professional middle name
Provider Name Suffix Text III
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2014
Individual professional's medical school graduation year
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name FLH, INC.
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 6608062807
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 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 4280 WATERMELON RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 111
Group Practice or individual's line 2 address
City NORTHPORT
Group Practice or individual's city
State AL
Group Practice or individual's state
Zip Code 354735250
Group Practice or individual's zip code (9 digits when available)
Phone Number 2053338554
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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