Physician Compare National (NPI:1962554352)

HEALTHCARE PROVIDER: LESLEY RENAYE RICHEY-SMITH 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	1962554352
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769579101
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071031000584
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RICHEY-SMITH
	Individual professional last name
Provider First Name	LESLEY
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	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	3504 CORINTH PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 150
	Group Practice or individual's line 2 address
City	CORINTH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	762081316
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670116
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WISE HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450634
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CITY DENTON
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y