Physician Compare National (NPI:1003874934)

HEALTHCARE PROVIDER: GARRISON VASILE MORIN 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	1003874934
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587602776
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151203001821
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORIN
	Individual professional last name
Provider First Name	GARRISON
	Individual professional first name
Provider Middle Name	VASILE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	158 FRONT ROYAL PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	WINCHESTER
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	226024324
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WINCHESTER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y