Physician Compare National (NPI:1144286121)

HEALTHCARE PROVIDER: MARK ROSS COMARATTA 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	1144286121
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426020223
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100914001392
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COMARATTA
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	ROSS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
	Individual professional's medical school
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1940 W DICKERSON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	BOZEMAN
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	597186851
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y