Physician Compare National (NPI:1104898980)

HEALTHCARE PROVIDER: MICHAEL J GIVEN 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	1104898980
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042256141
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050629000359
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GIVEN
	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	OTHER
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2010 LEWIS TURNER BLVD
	Group Practice or individual's line 1 address
City	FORT WALTON BEACH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	325471352
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390330
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST LUKE'S HOSPITAL - MONROE CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100054
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TWIN CITIES HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100223
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	FORT WALTON BEACH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	520044
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST NICHOLAS HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	100266
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GULF BREEZE HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1104898980)

HEALTHCARE PROVIDER: MICHAEL J GIVEN MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information