Physician Compare National (NPI:1831156157)

HEALTHCARE PROVIDER: RONALD C BURGESS 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	1831156157
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951436401
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101005000041
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURGESS
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COMMONWEALTH ORTHOPAEDIC SURGEONS PSC
	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	8527006147
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1780 NICHOLASVILLE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 601
	Group Practice or individual's line 2 address
City	LEXINGTON
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	405031440
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8592530124
	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