Physician Compare National (NPI:1649257395)

HEALTHCARE PROVIDER: WILLIAM ROSCOE DORSEY DO

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

Individual Professional Information
NPI	1649257395
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810028701
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100621000577
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DORSEY
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ALLIANCE PHYSICIANS INC
	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	0840104360
	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	754
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2591 MIAMISBURG CENTERVILLE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	CENTERVILLE
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	454593706
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9374395252
	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	360133
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRANDVIEW AND SOUTHVIEW HOSPITALS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360239
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KETTERING MEDICAL CENTER - SYCAMORE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y