Physician Compare National (NPI:1417273202)

HEALTHCARE PROVIDER: WILLIAM PATRICK SOMMERS D.O.

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

Individual Professional Information
NPI	1417273202
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456518356
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181211000614
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SOMMERS
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	PATRICK
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9133227135
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	22
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	60 EASTER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	TRINITY HOSPITAL SWING BED
	Group Practice or individual's line 2 address
City	WEAVERVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	960931229
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5306235541
	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	050764
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SHASTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	051315
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TRINITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y