Provider Demographics
NPI:1457454993
Name:PIERAMICI, SEAN F (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:F
Last Name:PIERAMICI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E BEAU ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6661
Mailing Address - Country:US
Mailing Address - Phone:724-228-2982
Mailing Address - Fax:724-228-8117
Practice Address - Street 1:750 E BEAU ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-6661
Practice Address - Country:US
Practice Address - Phone:724-228-2982
Practice Address - Fax:724-228-8117
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96173207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00922186OtherPALMETTO GBA
PA002521008OtherBCBS
PA1025232560001Medicaid
PA1025232560001Medicaid
00A961730Medicare PIN