Physician Compare National (NPI:1366975427)

HEALTHCARE PROVIDER: MICHAEL ANTHONY GOLKIEWICZ D,C.

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

Individual Professional Information
NPI	1366975427
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941577795
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170525002327
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOLKIEWICZ
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	ANTHONY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BESSO CLINIC OF CHIROPRACTIC 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	3173555604
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4015 DARROW RD A
	Group Practice or individual's line 1 address
City	STOW
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	442242623
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3306891234
	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	M