HealthDirectory.us

David Cangcuesta

• Male

Medical Specialty

• Otolaryngology

Professional ID

• NPI: 1194786251
• PECOS ID: 3870560634
• Enrollment ID: I20111004000009
• Credential(MD, DO, DPM):
• Medical School:
• Medical School Graduation Year: 1974

Hospital Service

• Hospital CCN1: 490020
• Business Name (LBN)1: John Randolph Medical Center
• Hospital CCN2: 490067
• Business Name (LBN)2: Southside Regional Medical Center

Medical Practices

• Organization Name: Southside Head N Neck Surgery Professional Corp
• Group Practice ID assigned by PECOS: 8527035385
• Number of Group Practice member: 2

Location

• Address1: 930 S Ave
• Address2: 4b
• City: Colonial Heights
• State: Virginia
• Zip Code: 23834
• Phone Number: (804)504-0530

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS):
• Used Electronic health record (EHR):