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Physician Compare National (NPI:1598850042)

HEALTHCARE PROVIDER: JOHN D DORSKY 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 1598850042
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2163406794
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040614000387
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DORSKY
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Gender M
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 JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GENERAL PRACTICE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GENERAL PRACTICE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 23250 MERCANTILE RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 140
Group Practice or individual's line 2 address
City BEACHWOOD
Group Practice or individual's city
State OH
Group Practice or individual's state
Zip Code 441225928
Group Practice or individual's zip code (9 digits when available)
Phone Number 4405522464
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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