Physician Compare National (NPI:1053308163)

HEALTHCARE PROVIDER: ROLF DANIEL MORSTEAD 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	1053308163
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658414461
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100202000519
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORSTEAD
	Individual professional last name
Provider First Name	ROLF
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
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	2000
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SPORTS MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	312 GRAMMONT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 301
	Group Practice or individual's line 2 address
City	MONROE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	712017403
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190125
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190160
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GLENWOOD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y