Physician Compare National (NPI:1558321810)

HEALTHCARE PROVIDER: PAUL THOMAS MARCIANO DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1558321810
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002881554
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041104001200
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARCIANO
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	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	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1940 E STATE HWY 114
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 150
	Group Practice or individual's line 2 address
City	SOUTHLAKE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	760926526
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450137
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450888
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHLAKE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	670116
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WISE HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450563
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	670085
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1558321810)

HEALTHCARE PROVIDER: PAUL THOMAS MARCIANO DPM

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information