Physician Compare National (NPI:1154522696)

HEALTHCARE PROVIDER: RODNEY JAY WILLIAMS 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	1154522696
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022180306
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080701000512
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WILLIAMS
	Individual professional last name
Provider First Name	RODNEY
	Individual professional first name
Provider Middle Name	JAY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	815 GRANDVIEW RD
	Group Practice or individual's line 1 address
City	OIL CITY
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	163012077
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	260078
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OZARKS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390168
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BUTLER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390091
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	UPMC NORTHWEST
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y