Physician Compare National (NPI:1922047471)

HEALTHCARE PROVIDER: JOHN MICHAEL DEVARO 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	1922047471
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749342277
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081217000610
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEVARO
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	340 EISENHOWER DR BLDG
	Group Practice or individual's line 1 address
Line 2 Street Address	1400 BLDG 1400 SUITE A
	Group Practice or individual's line 2 address
City	SAVANNAH
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	314061600
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y