Physician Compare National (NPI:1962469379)

HEALTHCARE PROVIDER: STEPHEN MORGAN MD

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

Individual Professional Information
NPI	1962469379
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082791280
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080414000008
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORGAN
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PEDIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PEDIATRIC ASSOCIATES OF GREATER SALEM, 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	4284648270
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	84 HIGHLAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	SALEM
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	019702732
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9787453050
	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	220035
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTH SHORE MEDICAL CENTER -
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M