Physician Compare National (NPI:1063512515)

HEALTHCARE PROVIDER: YEVGENY KATS D.P.M.

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

Individual Professional Information
NPI	1063512515
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688758758
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080227000794
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KATS
	Individual professional last name
Provider First Name	YEVGENY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1991
	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	3034 VALLEY AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 106
	Group Practice or individual's line 2 address
City	WINCHESTER
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	226012670
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5402471388
	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	490005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WINCHESTER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490023
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FAUQUIER HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490033
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WARREN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y