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Physician Compare National (NPI:1629183223)

HEALTHCARE PROVIDER: MICHEAL T FLOOD 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 1629183223
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5890688766
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040205000034
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name FLOOD
Individual professional last name
Provider First Name MICHEAL
Individual professional first name
Provider Middle Name T
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DPM
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 WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1993
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 111 N WABASH
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 1914
Group Practice or individual's line 2 address
City CHICAGO
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 606022968
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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