Physician Compare National (NPI:1023224250)

HEALTHCARE PROVIDER: DANIEL HUFF SHELL IV 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	1023224250
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961574009
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080707000043
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHELL
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Name Suffix Text	IV
	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	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2680 W OXFORD LOOP
	Group Practice or individual's line 1 address
City	OXFORD
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	386555441
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250034
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST MEMORIAL HOSPITAL NORTH MS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y