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Physician Compare National (NPI:1992016588)

HEALTHCARE PROVIDER: RANA FAWZI HAWAMDEH M.D.

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

Individual Professional Information

NPI 1992016588
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1850529041
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160620000221
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HAWAMDEH
Individual professional last name
Provider First Name RANA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2008
Individual professional's medical school graduation year
Primary Specialty HEMATOLOGY/ONCOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MERCY CLINIC JOPLIN LLC
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 0547300196
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 236
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 100 MERCY WAY
Group Practice or individual's line 1 address
Line 2 Street Address ONCOLOGY AND HEMATOLOGY JOPLIN
Group Practice or individual's line 2 address
City JOPLIN
Group Practice or individual's city
State MO
Group Practice or individual's state
Zip Code 648044524
Group Practice or individual's zip code (9 digits when available)
Phone Number 4177827722
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 260001
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MERCY HOSPITAL JOPLIN
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 260061
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 NEVADA REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 261338
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 MERCY HOSPITAL CARTHAGE
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 170120
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 LABETTE HEALTH
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 171308
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 MERCY HOSPITAL COLUMBUS
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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