Physician Compare National (NPI:1306866413)

HEALTHCARE PROVIDER: RICHARD DRAKE 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	1306866413
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133122112
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130430000075
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DRAKE
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	DAVID
	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	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	GYNECOLOGICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	17350 ST LUKES WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 350
	Group Practice or individual's line 2 address
City	SHENANDOAH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	773844103
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450862
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST LUKE'S THE WOODLANDS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450347
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HUNTSVILLE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450222
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CONROE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450844
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	HOUSTON METHODIST WILLOWBROOK HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450775
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	KINGWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1306866413)

HEALTHCARE PROVIDER: RICHARD DRAKE MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information