Physician Compare National (NPI:1871565531)

HEALTHCARE PROVIDER: LLOYD WILLIAMS III 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	1871565531
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234102518
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090715000550
	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	LLOYD
	Individual professional first 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	1988
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BLUFFTON PHYSICIAN SERVICES,LLC
	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	7618984253
	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	24
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	824 HUNTINGTON AVE
	Group Practice or individual's line 1 address
City	WARREN
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	467929277
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BLUFFTON REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	150021
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PARKVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	150091
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PARKVIEW HUNTINGTON HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	150017
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LUTHERAN HOSPITAL OF INDIANA
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y