Physician Compare National (NPI:1629076096)

HEALTHCARE PROVIDER: RAUL RAMOS 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	1629076096
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032001938
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040326000019
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAMOS
	Individual professional last name
Provider First Name	RAUL
	Individual professional first 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	OTHER
	Individual professional's medical school
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
Line 1 Street Address	540 MADISON OAK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 370
	Group Practice or individual's line 2 address
City	SAN ANTONIO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	782583931
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670055
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST STONE OAK HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450388
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METHODIST HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y