Physician Compare National (NPI:1962617639)

HEALTHCARE PROVIDER: WILLIAM RAY TRULUCK D.O.

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

Individual Professional Information
NPI	1962617639
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759473564
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080825000132
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TRULUCK
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	HAND SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ORTHOPEDIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ORTHOPEDIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3945 OKEMOS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B4
	Group Practice or individual's line 2 address
City	OKEMOS
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	488644207
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	231327
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HAYES GREEN BEACH MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230167
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MCLAREN GREATER LANSING
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230230
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EDWARD W SPARROW HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y