Physician Compare National (NPI:1912184441)

HEALTHCARE PROVIDER: GEORGE ROBERT ORNDORFF JR. DC

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

Individual Professional Information
NPI	1912184441
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426117987
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081112000790
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ORNDORFF
	Individual professional last name
Provider First Name	GEORGE
	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	PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	YALOBUSHA GENERAL HOSPITAL
	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	4486601648
	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	20
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	606 S MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	MEDICAL ARTS BUILDING
	Group Practice or individual's line 2 address
City	WATER VALLEY
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	389653468
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6624735280
	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