Physician Compare National (NPI:1861885832)

HEALTHCARE PROVIDER: SHOUNDA TURLEY APRN-NPC

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

Individual Professional Information
NPI	1861885832
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345559530
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151029001651
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TURLEY
	Individual professional last name
Provider First Name	SHOUNDA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SGOH ACQUISITION 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	5092616276
	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	73
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2485 N MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	OCH JAY FAMILY CLINIC
	Group Practice or individual's line 2 address
City	JAY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	743462201
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9182532550
	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	370113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INTEGRIS GROVE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	041331
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OZARKS COMMUNITY HOSPITAL OF GRAVETTE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y