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Physician Compare National (NPI:1861447054)

HEALTHCARE PROVIDER: FRANCISCO G MORENO 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 1861447054
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5597846451
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080116000678
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MORENO
Individual professional last name
Provider First Name FRANCISCO
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Individual professional's medical school
Graduation Year 1976
Individual professional's medical school graduation year
Primary Specialty OTOLARYNGOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PLASTIC AND RECONSTRUCTIVE SURGERY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PLASTIC AND RECONSTRUCTIVE SURGERY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 744 MIDDLE CREEK RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 200
Group Practice or individual's line 2 address
City SEVIERVILLE
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 378625036
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 440081
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LECONTE MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 440125
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 FORT SANDERS REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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