Physician Compare National (NPI:1851397749)

HEALTHCARE PROVIDER: WILLIAM RICHARD GELINAS DO

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

Individual Professional Information
NPI	1851397749
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092999680
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110405001169
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GELINAS
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	R
	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 NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	THORACIC SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY, THORACIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	11535 W EMERALD OAKS DR
	Group Practice or individual's line 1 address
City	CRYSTAL RIVER
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	344282815
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100249
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SEVEN RIVERS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100113
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UF HEALTH SHANDS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y