Physician Compare National (NPI:1750473740)

HEALTHCARE PROVIDER: JAMES R LUCAS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750473740
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688667660
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090914000665
	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	JAMES
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	67-1123 MAMALAHOA HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 130
	Group Practice or individual's line 2 address
City	KAMUELA
	Group Practice or individual's city
State	HI
	Group Practice or individual's state
Zip Code	967438451
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	120028
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTH HAWAII COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y