Physician Compare National (NPI:1982706438)

HEALTHCARE PROVIDER: DEBRA LYNN ROYCE MD

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

Individual Professional Information
NPI	1982706438
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628192127
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100907000556
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROYCE
	Individual professional last name
Provider First Name	DEBRA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1407 MINER ST
	Group Practice or individual's line 1 address
City	SARCOXIE
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	648629210
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4175483334
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	261338
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HOSPITAL CARTHAGE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260001
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL JOPLIN
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M