Physician Compare National (NPI:1962469262)

HEALTHCARE PROVIDER: MAURICE HENRY VAN STRICKLAND 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	1962469262
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436238391
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080502000351
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STRICKLAND
	Individual professional last name
Provider First Name	MAURICE
	Individual professional first name
Provider Middle Name	HV
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1974
	Individual professional's medical school graduation year
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	10021 W 21ST ST
	Group Practice or individual's line 1 address
City	WICHITA
	Group Practice or individual's city
State	KS
	Group Practice or individual's state
Zip Code	672051831
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	170123
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WESLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y