Physician Compare National (NPI:1114932076)

HEALTHCARE PROVIDER: GEORGE MARSHALL MOMANY 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	1114932076
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608069943
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101019001561
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOMANY
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5901 N LIDGERWOOD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 218
	Group Practice or individual's line 2 address
City	SPOKANE
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	992081122
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500054
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE SACRED HEART MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	500077
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE HOLY FAMILY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y