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Physician Compare National (NPI:1912963471)

HEALTHCARE PROVIDER: MICHELLE TURBA NP

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

Individual Professional Information

NPI 1912963471
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9234266883
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100429001226
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TURBA
Individual professional last name
Provider First Name MICHELLE
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1996
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name NORTH MISSISSIPPI MEDICAL CENTER INC
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 9931010600
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 228
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 4381 S EASON BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 302
Group Practice or individual's line 2 address
City TUPELO
Group Practice or individual's city
State MS
Group Practice or individual's state
Zip Code 388016584
Group Practice or individual's zip code (9 digits when available)
Phone Number 6623775700
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 251308
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 PONTOTOC HEALTH SERVICE INC CAH
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 250004
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 NORTH MISSISSIPPI MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 250006
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 BAPTIST MEMORIAL HOSPITAL UNION COUNTY
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment Y

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