Physician Compare National (NPI:1962552604)

HEALTHCARE PROVIDER: SCOTT A DRUMMOND JR. DO

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

Individual Professional Information
NPI	1962552604
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163783531
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180227001362
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DRUMMOND
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	ALLEN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTHERN MAINE MEDICAL CENTER
	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	8426952987
	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	36
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	197 E MAIN ST
	Group Practice or individual's line 1 address
City	FORT KENT
	Group Practice or individual's city
State	ME
	Group Practice or individual's state
Zip Code	047431409
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2078343142
	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	200052
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHERN MAINE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	200033
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EASTERN MAINE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100028
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PARRISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	200018
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	AROOSTOOK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y