Physician Compare National (NPI:1497843924)

HEALTHCARE PROVIDER: MARTIN ROSS MD

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

Individual Professional Information
NPI	1497843924
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113059809
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140304000305
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSS
	Individual professional last name
Provider First Name	MARTIN
	Individual professional first 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
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
	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	1456265974
	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	147
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1503 LANSDOWNE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1001
	Group Practice or individual's line 2 address
City	DARBY
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190231330
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6102372770
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390096
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOSEPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390156
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY FITZGERALD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y