Physician Compare National (NPI:1881916898)

HEALTHCARE PROVIDER: JULIE SCHOURUP MD, MPH

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

Individual Professional Information
NPI	1881916898
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901939925
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130522000262
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHOURUP
	Individual professional last name
Provider First Name	JULIE
	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	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	PREVENTATIVE MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	108 2ND ST
	Group Practice or individual's line 1 address
City	BISBEE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	856031257
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5204326065
	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	031312
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COPPER QUEEN COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M