Physician Compare National (NPI:1861472565)

HEALTHCARE PROVIDER: MICHAEL J. CROSS 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	1861472565
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375599384
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080311000785
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CROSS
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	SURGICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PLASTIC AND RECONSTRUCTIVE SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1792 E JOYCE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	FAYETTEVILLE
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	727035255
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHWEST MEDICAL CENTER-SPRINGDALE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WASHINGTON REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y