Physician Compare National (NPI:1245673268)

HEALTHCARE PROVIDER: MICHAEL DANIEL HERMANN 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	1245673268
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587884341
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180829004594
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERMANN
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ANESTHESIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ANESTHESIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	SPECIALIST IN PAIN MANAGEMENT PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1355253659
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	281 N LYERLY ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	CHATTANOOGA
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	374042728
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4236980850
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y