Physician Compare National (NPI:1831420306)

HEALTHCARE PROVIDER: RAYMOND LAIRD JR. D.O.

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

Individual Professional Information
NPI	1831420306
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577703388
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140908001078
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LAIRD
	Individual professional last name
Provider First Name	RAYMOND
	Individual professional first 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	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2008
	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	LAIRD AND LAIRD SURGICAL ASSOCIATES PLLC
	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	9133465644
	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	2128 W JEFFERSON AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	TRENTON
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481835470
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7343073040
	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	230176
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BEAUMONT HOSPITAL - TRENTON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y