Physician Compare National (NPI:1396778932)

HEALTHCARE PROVIDER: JOEL PETER MASCARO 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	1396778932
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385733377
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071128000493
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MASCARO
	Individual professional last name
Provider First Name	JOEL
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9220 E MOUNTAIN VIEW RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 215
	Group Practice or individual's line 2 address
City	SCOTTSDALE
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	852585136
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y