Physician Compare National (NPI:1598736621)

HEALTHCARE PROVIDER: SEAN PATRICK COYLE 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	1598736621
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163404302
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101123000713
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COYLE
	Individual professional last name
Provider First Name	SEAN
	Individual professional first name
Provider Middle Name	PATRICK
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	19335 MERRIMAN RD
	Group Practice or individual's line 1 address
City	LIVONIA
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481521767
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230165
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JOHN HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230019
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE HOSP AND MED CTRS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230002
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST MARY MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	230130
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BEAUMONT HOSPITAL, ROYAL OAK
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	230151
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BEAUMONT HOSPITAL - FARMINGTON HILLS
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1598736621)

HEALTHCARE PROVIDER: SEAN PATRICK COYLE MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information