Physician Compare National (NPI:1659563039)

HEALTHCARE PROVIDER: MICHELLE KIM ATCHISON 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	1659563039
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719150333
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141213000181
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ATCHISON
	Individual professional last name
Provider First Name	MICHELLE
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	EYE CONSULTANTS OF FARGO, PLLC
	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	5890045785
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	538 TESSA DR
	Group Practice or individual's line 1 address
City	MOORHEAD
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	565605631
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7012350561
	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	241354
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TRI COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y