Physician Compare National (NPI:1861417164)

HEALTHCARE PROVIDER: MARK L HAMMOND 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	1861417164
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880881812
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101203000059
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAMMOND
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	L
	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 TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6019 WALNUT GROVE RD
	Group Practice or individual's line 1 address
City	MEMPHIS
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	381202113
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9018441434
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440049
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST HEALTHCARE MEMPHIS HOSPITALS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y