Physician Compare National (NPI:1073504692)

HEALTHCARE PROVIDER: MICHAEL J JURENOVICH DO

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

Individual Professional Information
NPI	1073504692
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365463619
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100720000976
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JURENOVICH
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	654 YOUNGSTOWN WARREN RD
	Group Practice or individual's line 1 address
City	NILES
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	444464356
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360161
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPH WARREN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390266
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GROVE CITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390307
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EDGEWOOD SURGICAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390178
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	UPMC HORIZON
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y