Physician Compare National (NPI:1578673919)

HEALTHCARE PROVIDER: WILLIAM DAVID STINSON 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	1578673919
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345412292
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111019000072
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STINSON
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	315 S WALNUT BEND RD
	Group Practice or individual's line 1 address
City	CORDOVA
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	380181508
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9017558880
	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	440048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METHODIST HEALTHCARE MEMPHIS HOSPITALS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y