Physician Compare National (NPI:1205803301)

HEALTHCARE PROVIDER: JOHN F LUCAS III 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	1205803301
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678515442
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050523001106
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LUCAS
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	FREDERICK
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1995
	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
Line 1 Street Address	1339 E ST
	Group Practice or individual's line 1 address
City	GRAHAM
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	764504228
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450085
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRAHAM REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	451354
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HAMILTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y