Physician Compare National (NPI:1770533051)

HEALTHCARE PROVIDER: STEVEN J. HEANEY M.D.

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

Individual Professional Information
NPI	1770533051
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365527959
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080306000334
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEANEY
	Individual professional last name
Provider First Name	STEVEN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	201 ARCH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	MEADVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	163353443
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8147243201
	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	390113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEADVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390009
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT VINCENT HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390063
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	UPMC HAMOT HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y