Physician Compare National (NPI:1306021654)

HEALTHCARE PROVIDER: LANCE AUSTEN SIMS 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	1306021654
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012083827
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080902000343
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIMS
	Individual professional last name
Provider First Name	LANCE
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2006
	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	841 ROBETSON BLVD
	Group Practice or individual's line 1 address
City	WALTERBORO
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	29488
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420030
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COLLETON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y