Physician Compare National (NPI:1972537355)

HEALTHCARE PROVIDER: JEFFREY C HOUIN 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	1972537355
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274684733
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090714000595
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOUIN
	Individual professional last name
Provider First Name	JEFFREY
	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	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DERMATOLOGY CENTER OF NORTH MS PA
	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	7416006986
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	516 PEGRAM DR
	Group Practice or individual's line 1 address
City	TUPELO
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	388016347
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6628446272
	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	250004
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTH MISSISSIPPI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	251308
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PONTOTOC HEALTH SERVICE INC CAH
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M