Physician Compare National (NPI:1164494076)

HEALTHCARE PROVIDER: DR. MICHAEL I MUNFORD

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

Individual Professional Information
NPI	1164494076
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8527004969
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050707000267
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MUNFORD
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	I
	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 UTAH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1251 NORTHFIELD RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	CEDAR CITY
	Group Practice or individual's city
State	UT
	Group Practice or individual's state
Zip Code	847218623
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	460007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CEDAR CITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y