Physician Compare National (NPI:1063470540)

HEALTHCARE PROVIDER: PAUL STEPHEN WEBSTER 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	1063470540
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345213575
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070918000194
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEBSTER
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	825 E OAK ST
	Group Practice or individual's line 1 address
City	KISSIMMEE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	347445838
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	441322
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100109
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y