Physician Compare National (NPI:1154331858)

HEALTHCARE PROVIDER: MARTIN A TUMA 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	1154331858
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466591763
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091130000107
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TUMA
	Individual professional last name
Provider First Name	MARTIN
	Individual professional first name
Provider Middle Name	A V
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	23077 GREENFIELD RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	SOUTHFIELD
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	480753744
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230104
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HARPER UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230273
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DETROIT RECEIVING HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y