Physician Compare National (NPI:1639127632)

HEALTHCARE PROVIDER: WILLIAM THOMAS O'CONNOR JR. 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	1639127632
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648448589
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110721000073
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	O CONNOR
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL PRACTICE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL PRACTICE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	300 MASON ST
	Group Practice or individual's line 1 address
City	VACAVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956884506
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7074460422
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y