Physician Compare National (NPI:1346462306)

HEALTHCARE PROVIDER: SCOTT KERMIT HUFFAKER 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	1346462306
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800967472
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080625000626
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUFFAKER
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COVENANT MEDICAL CENTER INC
	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	2769387778
	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	340
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1447 N HARRISON ST
	Group Practice or individual's line 1 address
City	SAGINAW
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	486024727
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9895834220
	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	231330
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARLETTE REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	231314
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MCKENZIE HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	231311
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DECKERVILLE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	231316
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	HILLS & DALES GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y