Physician Compare National (NPI:1770599326)

HEALTHCARE PROVIDER: WILLIAM M MANIA MD PA

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

Individual Professional Information
NPI	1770599326
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729248075
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120326000144
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANIA
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	375 MUNICIPAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	RICHARDSON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750803543
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450537
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST RICHARDSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670073
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METHODIST HOSPITAL FOR SURGERY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M