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Physician Compare National (NPI:1306051552)

HEALTHCARE PROVIDER: CHRISTOPHER MICHAEL WHITE 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 1306051552
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6608943345
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080923000355
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WHITE
Individual professional last name
Provider First Name CHRISTOPHER
Individual professional first name
Provider Middle Name MICHAEL
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 MISSISSIPPI SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty GASTROENTEROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MEHARRY MEDICAL COLLEGE
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 3375456163
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 61
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1005 DR DB TODD JR BLVD
Group Practice or individual's line 1 address
City NASHVILLE
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 372083501
Group Practice or individual's zip code (9 digits when available)
Phone Number 6153276109
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 440111
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 METRO NASHVILLE GENERAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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