Physician Compare National (NPI:1396061339)

HEALTHCARE PROVIDER: TODD MICHAEL RALEIGH 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	1396061339
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092027532
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150711000054
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RALEIGH
	Individual professional last name
Provider First Name	TODD
	Individual professional first name
Provider Middle Name	M
	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 UTAH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2075 BARKLEY BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 222
	Group Practice or individual's line 2 address
City	BELLINGHAM
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	982266614
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3606034044
	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	500030
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y