Kenneth Unice, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS004179L Issued in PA

Practice address

495 Pine St
Meadville, PA 16335-2974

Phone

(814) 333-2103

Fax

(814) 337-3798

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1275532830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 PINE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 PINE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352974",
            "telephone_number": "814-333-2103",
            "fax_number": "814-337-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNICE",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004179L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006131730003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Clifton Trout, DPM
• Laura Ann Tucci, PHARM D.
• Evan S. Tucker, LPC
• Alicia Marie Twilla, MS, LPC
• Samantha Jo Unger, CRNP
• Ronald M Unice, D.O.
• Sean Alan Unice, D.O.
• Union Orthotics & Prosthetics Co.
• Francine Joan Urbanick, RPH
• USA Radiology of Pennsylvania, LLC

• Family Medicine Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.