Physician Compare National (NPI:1952379059)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1952379059
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365592060
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090617000576
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NOONAN
	Individual professional last name
Provider First Name	FRANCIS
	Individual professional first name
Provider Middle Name	C
	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	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	420 W LINCOLN AVE
	Group Practice or individual's line 1 address
City	MYERSTOWN
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	170672327
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7178660055
	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	390044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	READING HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390225
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WELLSPAN EPHRATA COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390100
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LANCASTER GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390066
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390062
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	NASON MEDICAL CENTER, LLC
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1952379059)

HEALTHCARE PROVIDER:

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information