Physician Compare National (NPI:1285672899)

HEALTHCARE PROVIDER: GEORGE THOMAS MORTON III 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	1285672899
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880777143
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080208000389
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORTON
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Middle Name	THOMAS
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	220 E AVE
	Group Practice or individual's line 1 address
City	RIFLE
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	816502332
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	061317
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRAND RIVER HOSPITAL DISTRICT
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	060075
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	VALLEY VIEW HOSPITAL ASSOCIATION
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M