Physician Compare National (NPI:1962659680)

HEALTHCARE PROVIDER: RONNIE RAY SORROW JR. DDS

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

Individual Professional Information
NPI	1962659680
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658564596
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101022001229
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SORROW
	Individual professional last name
Provider First Name	RONNIE
	Individual professional first name
Provider Middle Name	R
	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.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

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
Professional Accepts Medicare Assignment	Y