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Physician Compare National (NPI:1811330954)

HEALTHCARE PROVIDER: MICHAEL T BAYONA M.D.

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

Individual Professional Information

NPI 1811330954
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4385962265
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190618000515
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BAYONA
Individual professional last name
Provider First Name MICHAEL
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name REGIONAL RADIOLOGICAL ASSOCIATES INC A MEDICAL GROUP
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 2264327188
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 18
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2020 COURT ST
Group Practice or individual's line 1 address
City REDDING
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 960011822
Group Practice or individual's zip code (9 digits when available)
Phone Number 5302431236
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 050280
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MERCY MEDICAL CENTER REDDING
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
Hospital Affiliation CCN 3 050764
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 SHASTA REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 261338
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 MERCY HOSPITAL CARTHAGE
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 261317
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 MERCY HOSPITAL - CASSVILLE
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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