NPIMap

Individual provider Active NPI

Zachary D Seagrave, MD

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1043573280
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2016010897 Issued in MO
Practice address
517 S Euclid Ave
Saint Louis, MO 63110-1007
Phone
(314) 362-3431
Fax
(314) 362-6564
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2016010897 MO Primary

Addresses

Primary practice location

517 S Euclid Ave
Saint Louis, MO 63110-1007

Mailing address

660 S Euclid Ave
C B 8096
Saint Louis, MO 63110-1010
Phone (314) 362-3431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103001010 MO Practitioner - Ophthalmology 1759669203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

915 State Hwy 248
Suite a
Branson, MO 65616-8004
Phone (417) 820-9393

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016010897MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Dec 20, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 2, 2018 Accepting new patients
Washington University CurrentSince Sep 25, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 20, 2016 Accepting new patients
Mercy Hospital Springfield Current Accepting new patients
Washington University CurrentSince Sep 25, 2016 Accepting new patients

Locations

915 State Highway 248
Ste A
Branson, MO 65616
Phone (417) 334-0044

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

660 S Euclid Ave
#C
Saint Louis, MO 63110

517 S Euclid Ave
Saint Louis, MO 63110
Phone (314) 362-3431

4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

3045 S National Ave
Springfield, MO 65804
Phone (417) 820-5260

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Networks

  • IA HMO C-SNP
  • IA HMO

Organizations & group practices 6

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 9

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1043573280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8096",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-3431",
            "fax_number": "314-362-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101007",
            "telephone_number": "314-362-3431",
            "fax_number": "314-362-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGRAVE",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2016010897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.