Physician Compare National (NPI:1659347128)

HEALTHCARE PROVIDER: WILLIAM A RIZK MD

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

Individual Professional Information
NPI	1659347128
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658264411
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100818000091
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIZK
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MIDLANDS CLINIC PC
	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	8820981681
	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	300 SIOUX VALLEY DR
	Group Practice or individual's line 1 address
City	CHEROKEE
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	510121205
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7122255101
	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	160153
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER-SIOUX CITY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	430089
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DUNES SURGICAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y