Physician Compare National (NPI:1639196629)

HEALTHCARE PROVIDER: DEBRA A. WOMICK LEE 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	1639196629
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395715528
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040727000616
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WOMICK LEE
	Individual professional last name
Provider First Name	DEBRA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	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	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1995
	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	704 THIMBLE SHOALS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300B
	Group Practice or individual's line 2 address
City	NEWPORT NEWS
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	236064554
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490130
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RIVERSIDE WALTER REED HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490052
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	RIVERSIDE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	490093
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SENTARA CAREPLEX HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y