Physician Compare National (NPI:1699782565)

HEALTHCARE PROVIDER: MICHAEL R PROBSTFELD 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	1699782565
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325062870
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060124000106
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PROBSTFELD
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	CALIFORNIA ECLECTIC MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SAGUARO SURGICAL PC
	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	0547248791
	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	9
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6442 E SPEEDWAY BLVD
	Group Practice or individual's line 1 address
City	TUCSON
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	857101134
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5203183004
	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	030006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TUCSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JOSEPH'S HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y