Physician Compare National (NPI:1548226269)

HEALTHCARE PROVIDER: FRANK DAVID CLIFFORD 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	1548226269
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800912247
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100923000318
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CLIFFORD
	Individual professional last name
Provider First Name	FRANK
	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.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	FAMILY MEDICINE OF WARREN PA PC
	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	9032188123
	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	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1 FOREST ST
	Group Practice or individual's line 1 address
City	SUGAR GROVE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	16350
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8144893875
	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	390146
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WARREN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390104
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KANE COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	391308
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LECOM HEALTH CORRY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y