Physician Compare National (NPI:1396852323)

HEALTHCARE PROVIDER: MICHAEL A DAVIS DC

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

Individual Professional Information
NPI	1396852323
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325046659
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170523002438
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAVIS
	Individual professional last name
Provider First Name	MIKE
	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.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	104 XENIA TOWNE SQ
	Group Practice or individual's line 1 address
City	XENIA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	453852932
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360026
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GREENE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y