Physician Compare National (NPI:1134502685)

HEALTHCARE PROVIDER: SEAN ALAN UNICE 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	1134502685
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688929912
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180611000012
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	UNICE
	Individual professional last name
Provider First Name	SEAN
	Individual professional first name
Provider Middle Name	ALAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OSTEOPATHIC MANIPULATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OSTEOPATHIC MANIPULATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	751 LIBERTY ST
	Group Practice or individual's line 1 address
City	MEADVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	163352559
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8143335000
	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	390113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEADVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y