Physician Compare National (NPI:1518974781)

HEALTHCARE PROVIDER: PETER F MAURICE III 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	1518974781
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254320401
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040511001531
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAURICE
	Individual professional last name
Provider First Name	PETER
	Individual professional first name
Provider Middle Name	FREDRIC
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PLASTIC AND RECONSTRUCTIVE SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PROLIANCE SURGEONS, INC., P.S.
	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	8527972900
	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	429
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	16259 SYLVESTER RD SW
	Group Practice or individual's line 1 address
Line 2 Street Address	505 SOUTH SEATTLE OTOLARYNGOLOGY
	Group Practice or individual's line 2 address
City	BURIEN
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	981663059
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2062423696
	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	500011
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HIGHLINE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y