Physician Compare National (NPI:1750376083)

HEALTHCARE PROVIDER: LISA WILLIAMS 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	1750376083
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739114489
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050930000384
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WILLIAMS
	Individual professional last name
Provider First Name	LISA
	Individual professional first name
Provider Middle Name	I
	Individual professional middle name
Provider Gender	F
	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	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	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	1443 BECK AVE
	Group Practice or individual's line 1 address
City	CODY
	Group Practice or individual's city
State	WY
	Group Practice or individual's state
Zip Code	824143730
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3075277811
	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	531312
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WEST PARK HOSPITAL DISTRICT
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	270004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BILLINGS CLINIC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	531306
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WASHAKIE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y