Physician Compare National (NPI:1417031295)

HEALTHCARE PROVIDER: WILLIAM THOMAS SORRELL 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	1417031295
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426150939
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100721000253
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SORRELL
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	THOMAS
	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 NEBRASKA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ALEGENT CREIGHTON CLINIC
	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	1951210418
	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	584
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	211 W 33RD ST
	Group Practice or individual's line 1 address
City	KEARNEY
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	688453484
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3088652141
	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	280009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHI HEALTH GOOD SAMARITAN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	281348
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TRI VALLEY HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	280138
	Medicare CCN of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y