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Physician Compare National (NPI:1992844989)

HEALTHCARE PROVIDER: ADRIAN A MICHAEL 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 1992844989
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2961555842
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090727000132
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MICHAEL
Individual professional last name
Provider First Name ADRIAN
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2004
Individual professional's medical school graduation year
Primary Specialty RHEUMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1770 TIERRA DE MESILLA
Group Practice or individual's line 1 address
City LAS CRUCES
Group Practice or individual's city
State NM
Group Practice or individual's state
Zip Code 880053957
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 320018
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MEMORIAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 320085
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 MOUNTAIN VIEW REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 321309
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 MIMBRES MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 320016
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 GILA REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment Y

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