Physician Compare National (NPI:1962460519)

HEALTHCARE PROVIDER: DOUGLAS LYNN FRIESEN 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	1962460519
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769554021
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110117000077
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRIESEN
	Individual professional last name
Provider First Name	DOUGLAS
	Individual professional first name
Provider Middle Name	L
	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 KANSAS SCHOOL OF MED (KC/WICH/SAL)
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	UNDERSEA AND HYPERBARIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	UNDERSEA AND HYPERBARIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	HILL MEDICAL SERVICES PLLC
	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	3971661018
	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	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1194 W WALNUT ST
	Group Practice or individual's line 1 address
City	ROGERS
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	727561452
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4798782250
	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	040010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HOSPITAL NORTHWEST ARKANSAS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y