Physician Compare National (NPI:1518953264)

HEALTHCARE PROVIDER: STEPHEN SOROKANICH JR. 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	1518953264
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466587225
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100318000137
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SOROKANICH
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	700 QUINCY AVE
	Group Practice or individual's line 1 address
City	SCRANTON
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	185101724
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5705863976
	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	390119
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOSES TAYLOR HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y