Physician Compare National (NPI:1902858244)

HEALTHCARE PROVIDER: MATTHEW G. POWERS 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	1902858244
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315909959
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050520000701
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	POWERS
	Individual professional last name
Provider First Name	MATTHEW
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL RADIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1923 S UTICA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	ST JOHN MEDICAL CENTER
	Group Practice or individual's line 2 address
City	TULSA
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	741046520
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370216
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TULSA SPINE & SPECIALTY HOSPITAL, LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370114
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JOHN MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y