Physician Compare National (NPI:1497795553)

HEALTHCARE PROVIDER: JOHN JOSEPH MEZZULLO DO

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

Individual Professional Information
NPI	1497795553
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153471172
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090615000053
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MEZZULLO
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	EVENTUS WHOLEHEALTH PLLC
	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	6002169539
	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	144
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	101 CABARRUS AVE E
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	CONCORD
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	280253781
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8557432247
	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	M