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Physician Compare National (NPI:1255652301)

HEALTHCARE PROVIDER: PATRICK SHIH 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 1255652301
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5991976664
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110929000453
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SHIH
Individual professional last name
Provider First Name PATRICK
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Individual professional's medical school
Graduation Year 2004
Individual professional's medical school graduation year
Primary Specialty NEUROSURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 12121 RICHMOND AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 101
Group Practice or individual's line 2 address
City HOUSTON
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 770822420
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 450820
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HOUSTON METHODIST SUGARLAND HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 450644
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 WEST HOUSTON MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 450775
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 KINGWOOD MEDICAL CENTER
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 450617
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 CLEAR LAKE REGIONAL MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment Y

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