Physician Compare National (NPI:1902057235)

HEALTHCARE PROVIDER: DEWAYNE LOCKHART JR. 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	1902057235
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123262961
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130918000453
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LOCKHART
	Individual professional last name
Provider First Name	DEWAYNE
	Individual professional first name
Provider Name Suffix Text	JR.
	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	UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ANESTHESIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PHYSICAL MEDICINE AND REHABILITATION
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ANESTHESIOLOGY, PHYSICAL MEDICINE AND REHABILITATION
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3555 KRAFT RD
	Group Practice or individual's line 1 address
Line 2 Street Address	UNIT 120
	Group Practice or individual's line 2 address
City	NAPLES
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	341055039
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y