Physician Compare National (NPI:1942337522)

HEALTHCARE PROVIDER: MARK JEFFERY MCNABB D.O.

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

Individual Professional Information
NPI	1942337522
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012829724
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031103000071
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCNABB
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	JEFFERY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1990
	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	3260 LEXINGTON AVE
	Group Practice or individual's line 1 address
City	CAPE GIRARDEAU
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	637012609
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	260110
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHEASTHEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260183
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260113
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MISSOURI DELTA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M