Physician Compare National (NPI:1669608659)

HEALTHCARE PROVIDER: RO-JON ALLEN GROGANS M.D.

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

Individual Professional Information
NPI	1669608659
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618250390
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170202001406
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GROGANS
	Individual professional last name
Provider First Name	RO-JON
	Individual professional first name
Provider Middle Name	A
	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 TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	2009
	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	TEXAS SPECIALTY PHYSICIANS
	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	6305901927
	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	19
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	126 MEDICAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C
	Group Practice or individual's line 2 address
City	PALESTINE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	758018505
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9037310509
	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	450747
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PALESTINE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y