Individual provider Active NPI

Seann Elise Willson, MD

  • Orthopaedic Surgery Physician
  • Flint, MI
National Provider Identifier
1033236823
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301091485 Issued in MI
Practice address
4466 W Bristol Rd
Flint, MI 48507-3170
Phone
(810) 733-1200
Fax
(810) 733-0688
NPI assigned
Mar 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301091485 MI Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 4301091485 MI

Addresses

Primary practice location

4466 W Bristol Rd
Flint, MI 48507-3170

Mailing address

4466 W Bristol Rd
Flint, MI 48507-3170
Phone (810) 733-1200

Other identifiers 3

IdentifierTypeStateIssuer
1033236823MedicaidMI
0N45090OtherMIMEDICARE GROUP PTAN
0251416OtherMIBCBSM

Other names 1

  • Seann Elise Carr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080719000026 MI Practitioner - Orthopedic Surgery 6608959101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4466 W Bristol Rd
Flint, MI 48507-3170
Phone (810) 733-1200

Hospital & facility affiliations

  • Absolute Home Health Care Home health agency, Grand Blanc, MI, CCN 237732
  • McLaren Flint Hospital, Flint, MI, CCN 230141
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132

Merit-based Incentive Payment System (MIPS)

Final score
68.79 of 100Reported as group
Quality
20.79
Promoting interoperability
94
Improvement activities
40
Cost
80.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement37
Knee replacement48
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301091485MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Orthopaedic Surgery CurrentSince Sep 18, 2008 Accepting new patients
Family Orthopedic Associates P L C Orthopaedic Surgery CurrentSince Jul 15, 2008 Accepting new patients
Hurley Medical Center CurrentSince Sep 18, 2008 Accepting new patients
Family Orthopedic Associates P L C Orthopaedic Surgery CurrentSince Jul 15, 2008 Accepting new patients
Family Orthopedic Associates P L C Orthopaedic Surgery Current Accepting new patients
Hurley Medical Center Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

17015 Silver Pkwy
Fenton, MI 48430
Phone (810) 593-0023

4466 W Bristol Rd
Flint, MI 48507
Phone (810) 733-1200

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

Interoperability endpoints

  • Direct secure messaging: swillson@orthomichigan.directglo.com
  • Direct secure messaging: swillson1157827@direct.hfhs.org
  • Direct secure messaging: seann.willson.1@33541.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1033236823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "SEANN",
        "middle_name": "ELISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301091485",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": "4301091485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033236823",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "0N45090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0251416",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEANN",
            "last_name": "CARR",
            "middle_name": "ELISE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.