Physician Compare National (NPI:1427214790)

HEALTHCARE PROVIDER: CHRISTOPHER LEE CLANCY 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	1427214790
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385969864
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150203002124
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CLANCY
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	THORACIC SURGERY
	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	LIMA MEMORIAL PROFESSIONAL CORPORATION
	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	1254232184
	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	108
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1003 BELLEFONTAINE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	LIMA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	458042868
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4192277702
	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	360009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LIMA MEMORIAL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y