Provider Demographics
NPI:1538271473
Name:CAIN, SEAN ROBERT (MD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:ROBERT
Last Name:CAIN
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 1:300 STATE ST FL 4
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1427
Mailing Address - Country:US
Mailing Address - Phone:814-877-4577
Mailing Address - Fax:814-455-3001
Practice Address - Street 1:300 STATE ST FL 4
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1427
Practice Address - Country:US
Practice Address - Phone:814-877-4577
Practice Address - Fax:814-455-3001
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429689208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1880491OtherBLUE SHIELD
PAP00418488OtherRR MEDICARE
PA411297OtherUPMC
PA1016953720001Medicaid
WV1070034OtherWEST VIRGINIA WORK COMP
PA190636OtherUNISON
NY02810635OtherNY MEDICAL ASSISTANCE
NY00027681201OtherUNIVERA
PA1557975OtherGATEWAY
PA1408805OtherAETNA
PAP00418488OtherRR MEDICARE
NY00027681201OtherUNIVERA
PA190636OtherUNISON