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Physician Compare National (NPI:1740734144)

HEALTHCARE PROVIDER: MICHELLE MORRISON NP

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

Individual Professional Information

NPI 1740734144
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2062791403
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20161108000917
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MORRISON
Individual professional last name
Provider First Name MICHELLE
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2016
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name PIEDMONT ACCESS TO HEALTH SERVICES INC
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 3476512427
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 26
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 380 WASHINGTON ST
Group Practice or individual's line 1 address
City BOYDTON
Group Practice or individual's city
State VA
Group Practice or individual's state
Zip Code 239173415
Group Practice or individual's zip code (9 digits when available)
Phone Number 4347386420
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 490098
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 COMMUNITY MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 490013
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 SENTARA HALIFAX REGIONAL HOSPITAL
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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