Physician Compare National (NPI:1174754659)

HEALTHCARE PROVIDER: SETH DAVID LEVINE 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	1174754659
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931422383
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150224001769
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEVINE
	Individual professional last name
Provider First Name	SETH
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	UNIVERSITY HOSPITALS REGIONAL PRACTICES LLC
	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	3779818638
	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	35
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6150 OAK TREE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100A
	Group Practice or individual's line 2 address
City	INDEPENDENCE
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	441316917
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4407438145
	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	360075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UH REGIONAL HOSPITALS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360137
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIVERSITY HOSPITALS OF CLEVELAND
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360359
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360041
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PARMA COMMUNITY GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y