Physician Compare National (NPI:1689776148)

HEALTHCARE PROVIDER: MICHAEL GERALD KNAPP DO

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

Individual Professional Information
NPI	1689776148
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315063310
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100928000319
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KNAPP
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	GERALD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OSTEOPATHIC MANIPULATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OSTEOPATHIC MANIPULATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	601 S SCHIFFERDECKER AVE
	Group Practice or individual's line 1 address
City	JOPLIN
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	648013320
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4177811929
	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	260137
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FREEMAN HEALTH SYSTEM-FREEMAN WEST
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260001
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL JOPLIN
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y