Physician Compare National (NPI:1083638050)

HEALTHCARE PROVIDER: MICHAEL J VENER 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	1083638050
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103811179
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111221000304
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VENER
	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.
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	UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1989
	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
Organization Legal Name	MICHAEL J VENER M D P C
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0840285805
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	401 9TH AVE NW
	Group Practice or individual's line 1 address
City	WATERTOWN
	Group Practice or individual's city
State	SD
	Group Practice or individual's state
Zip Code	572011548
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6058822630
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	430005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PRAIRIE LAKES HEALTHCARE SYSTEM, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	241342
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ORTONVILLE AREA HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	241325
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHIPPEWA COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	241372
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MADISON HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y