Physician Compare National (NPI:1740334150)

HEALTHCARE PROVIDER: LARRY JOHN WAPIENNIK II 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	1740334150
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133243157
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100827000511
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WAPIENNIK
	Individual professional last name
Provider First Name	LARRY
	Individual professional first name
Provider Middle Name	JOHN
	Individual professional middle name
Provider Name Suffix Text	II
	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.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1997
	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	11406 BROADWAY
	Group Practice or individual's line 1 address
City	CROWN POINT
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	463077106
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2196637737
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y