Physician Compare National (NPI:1821022278)

HEALTHCARE PROVIDER: WILLIAM KINGREY CRNA

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

Individual Professional Information
NPI	1821022278
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042107153
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070504000268
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KINGREY
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Name Suffix Text	III
	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	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1900 N LOOP W
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 500
	Group Practice or individual's line 2 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770188100
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450694
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EL CAMPO MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y