Physician Compare National (NPI:1508862871)

HEALTHCARE PROVIDER: MARK DOUGLAS FRITZLER 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	1508862871
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870628084
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100312000682
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRITZLER
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	DOUGLAS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BAYLOR COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	645 W E AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	CHICO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	959267201
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5308988405
	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	050039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ENLOE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050030
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OROVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050042
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST ELIZABETH COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	051317
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ADVENTIST HEALTH CLEARLAKE
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	051327
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SENECA DISTRICT HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1508862871)

HEALTHCARE PROVIDER: MARK DOUGLAS FRITZLER MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information