Physician Compare National (NPI:1235108853)

HEALTHCARE PROVIDER: ALLEN L SLOAN 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	1235108853
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890691844
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031210000362
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SLOAN
	Individual professional last name
Provider First Name	ALLEN
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ANESTHESIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PAIN MANAGEMENT
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ANESTHESIOLOGY, PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1168 W MARTINTOWN RD
	Group Practice or individual's line 1 address
City	NORTH AUGUSTA
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	298412046
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	420082
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AIKEN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	421304
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EDGEFIELD COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y