Physician Compare National (NPI:1902067002)

HEALTHCARE PROVIDER: MICAELA T CHATMAN 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	1902067002
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335398494
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121004000414
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHATMAN
	Individual professional last name
Provider First Name	MICAELA
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MINNESOTA EPILEPSY GROUP PA
	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	6709771363
	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	225 SMITH AVE N
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	SAINT PAUL
	Group Practice or individual's city
State	MN
	Group Practice or individual's state
Zip Code	551022697
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6512415290
	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	240057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ABBOTT NORTHWESTERN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	240038
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ALLINA UNITED HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y