Physician Compare National (NPI:1093717704)

HEALTHCARE PROVIDER: GREGG STANLEY GOVETT M.D.

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

Individual Professional Information
NPI	1093717704
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840208336
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081118000901
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOVETT
	Individual professional last name
Provider First Name	GREGG
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	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	1201 S POST RD
	Group Practice or individual's line 1 address
City	MIDWEST CITY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	731302457
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370094
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ALLIANCEHEALTH MIDWEST
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y