Physician Compare National (NPI:1669715116)

HEALTHCARE PROVIDER: SEAN RYAN MURNEY

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

Individual Professional Information
NPI	1669715116
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799925665
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191114003189
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MURNEY
	Individual professional last name
Provider First Name	SEAN
	Individual professional first name
Provider Middle Name	RYAN
	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	2013
	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	PULMONARY AND CRITICAL CARE ASSOCIATES OF THE TRI-CITIES PC
	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	8426035890
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	602 N 6TH AVE
	Group Practice or individual's line 1 address
City	HOPEWELL
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	238602621
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8044527781
	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	490020
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JOHN RANDOLPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490067
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTHSIDE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y