Physician Compare National (NPI:1215062211)

HEALTHCARE PROVIDER: FRANK EDWARD ORR DDS

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

Individual Professional Information
NPI	1215062211
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042307167
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111115000567
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ORR
	Individual professional last name
Provider First Name	FRANK
	Individual professional first name
Provider Middle Name	EDWARD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	THE DENTAL SCHOOL AT UNIVERSITY OF TEXAS HSC AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	MAXILLOFACIAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	MAXILLOFACIAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ORAL SURGERY ASSOCIATES, PC
	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	0648290353
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	910 GOODYEAR AVE
	Group Practice or individual's line 1 address
City	GADSDEN
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	359031107
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2564926363
	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	110076
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DEKALB MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y