Physician Compare National (NPI:1851326193)

HEALTHCARE PROVIDER: THOMAS P MCWEENEY 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	1851326193
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870484819
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100820000085
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCWEENEY
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	19255 SW 65TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	TUALATIN
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	970629717
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380089
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEGACY MERIDIAN PARK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	380038
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y