Physician Compare National (NPI:1174588891)

HEALTHCARE PROVIDER: WILLIAM MOORE THOMPSON IV 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	1174588891
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062417595
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071012000384
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOMPSON
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1501 SUPERIOR AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	NEWPORT BEACH
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926633640
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9492007921
	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	050224
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOAG MEMORIAL HOSPITAL PRESBYTERIAN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M