Physician Compare National (NPI:1851496830)

HEALTHCARE PROVIDER: ORSON P CARDON D.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	1851496830
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789629320
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050623000602
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARDON
	Individual professional last name
Provider First Name	ORSON
	Individual professional first name
Provider Middle Name	P
	Individual professional middle 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.
Provider Credential Text	DDM
	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	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	MAXILLOFACIAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	MAXILLOFACIAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CARDON AND SORROW ORAL AND MAXILLOFACIAL SURGERY PLC
	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	5799922712
	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	683 ROBINSON RD
	Group Practice or individual's line 1 address
City	JACKSON
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	492031155
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5177870417
	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	230092
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HENRY FORD ALLEGIANCE HEALTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y