Physician Compare National (NPI:1538169966)

HEALTHCARE PROVIDER: GREGG MICHAEL ANIGIAN MD

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

Individual Professional Information
NPI	1538169966
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325233661
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101111000892
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANIGIAN
	Individual professional last name
Provider First Name	GREGG
	Individual professional first name
Provider Middle Name	MICHAEL
	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 TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8220 WALNUT HILL LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752314406
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y