Physician Compare National (NPI:1366434524)

HEALTHCARE PROVIDER: DAVEY P SUH 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	1366434524
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901941624
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100722000201
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SUH
	Individual professional last name
Provider First Name	DAVEY
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1998
	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	2281 OLYMPIA DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	FLOWER MOUND
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750281857
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670068
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y