Physician Compare National (NPI:1033165642)

HEALTHCARE PROVIDER: LEON G SHINGLEDECKER 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	1033165642
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143120717
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060830000355
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHINGLEDECKER
	Individual professional last name
Provider First Name	LEON
	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	TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1979
	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	3901 HOUMA BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 204
	Group Practice or individual's line 2 address
City	METAIRIE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	700062930
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190146
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EAST JEFFERSON GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M