Physician Compare National (NPI:1811139306)

HEALTHCARE PROVIDER: RYAN SEAN MANGEL 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	1811139306
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446449631
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160910000103
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANGEL
	Individual professional last name
Provider First Name	RYAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	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	PEARSALL EMERGENCY MEDICINE ASSOCIATES, PA
	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	1557623147
	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	31
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	13600 HORIZON BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	HORIZON CITY
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	799285810
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9154077878
	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	320063
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CARLSBAD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670124
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	200018
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	AROOSTOOK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360109
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COSHOCTON REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y