Physician Compare National (NPI:1619047206)

HEALTHCARE PROVIDER: PHILIP FRANCIS MCKINNEY DPM

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

Individual Professional Information
NPI	1619047206
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446329874
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080527000271
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCKINNEY
	Individual professional last name
Provider First Name	PHILIP
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2201 WILLAMETTE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE D
	Group Practice or individual's line 2 address
City	EUGENE
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	974053091
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5413447158
	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	380102
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SACRED HEART MEDICAL CENTER - RIVERBEND
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y