Physician Compare National (NPI:1174724744)

HEALTHCARE PROVIDER: DUSTIN HEBER TAUFERNER D.O.

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

Individual Professional Information
NPI	1174724744
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547439853
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110802000778
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TAUFERNER
	Individual professional last name
Provider First Name	DUSTIN
	Individual professional first name
Provider Middle Name	H
	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 NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	413 E RAILROAD AVE
	Group Practice or individual's line 1 address
City	PORT ISABEL
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785784133
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450662
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VALLEY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670195
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	670093
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ASPIRE BEHAVIORAL HEALTH OF CONROE, LLC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y