Physician Compare National (NPI:1922101914)

HEALTHCARE PROVIDER: MIGUEL CERVANTES III 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	1922101914
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567365208
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070118000270
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CERVANTES
	Individual professional last name
Provider First Name	MIGUEL
	Individual professional first name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
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	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PREMIER ANESTHESIA OF RICHLAND A DIVISION OF PREMIER ANESTHESIA, LLC
	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	4880699172
	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	48
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	888 SWIFT BLVD
	Group Practice or individual's line 1 address
City	RICHLAND
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	993523514
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5099464611
	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	500058
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KADLEC REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y