Physician Compare National (NPI:1952306458)

HEALTHCARE PROVIDER: MICHAEL T GUTMAN 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	1952306458
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456324656
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040816001441
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUTMAN
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	T
	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	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTH VALLEY EAR NOSE AND THROAT ASSOCIATES PC
	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	3173427036
	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	6
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6320 W UNION HILLS DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A170
	Group Practice or individual's line 2 address
City	GLENDALE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	853087152
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6026886500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y