Physician Compare National (NPI:1881709095)

HEALTHCARE PROVIDER: GRAHAM LEE HOWORTH JR. 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	1881709095
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729148564
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100809000225
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOWORTH
	Individual professional last name
Provider First Name	GRAHAM
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Name Suffix Text	JR.
	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
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1120 AIRPORT DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	ALEXANDER CITY
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	350103444
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RUSSELL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y