Physician Compare National (NPI:1033158449)

HEALTHCARE PROVIDER: CAROLINE ERICA SORENSON 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	1033158449
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557364635
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060809000520
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SORENSON
	Individual professional last name
Provider First Name	CAROLINE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	321 E 3RD ST
	Group Practice or individual's line 1 address
City	NORTH PLATTE
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	691014032
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	280065
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GREAT PLAINS HEALTH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	281355
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OGALLALA COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	281313
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GOTHENBURG MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	281365
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	JENNIE M MELHAM MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y