Physician Compare National (NPI:1316972136)

HEALTHCARE PROVIDER: CLIFFORD L SIMMANG 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	1316972136
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305863762
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051026000156
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIMMANG
	Individual professional last name
Provider First Name	CLIFFORD
	Individual professional first name
Provider Middle Name	L
	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	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	COLORECTAL SURGERY (PROCTOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	TEXAS COLON AND RECTAL SURGEONS, LLP
	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	1557345063
	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	20
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7777 FOREST LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A321
	Group Practice or individual's line 2 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752302589
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9726613575
	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	450563
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y