Physician Compare National (NPI:1205835683)

HEALTHCARE PROVIDER: WILLIAM CRAIG TYREE 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	1205835683
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002850641
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050615000276
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TYREE
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	CRAIG
	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	UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	RADIATION ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	103 TRISTA LN
	Group Practice or individual's line 1 address
City	GLASGOW
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	421413482
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	T J SAMSON COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180013
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THE MEDICAL CENTER (BOWLING GREEN)
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	180124
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GREENVIEW REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y