Physician Compare National (NPI:1629489224)

HEALTHCARE PROVIDER: SCOTT ANTHONY SACCO D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629489224
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981980638
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170411001796
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SACCO
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1730 E BROAD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	HAZLETON
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	182015657
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y