Active NPI
Samuel Franck Seppo
- Radiation Oncology Physician
- Detroit, MI
National Provider Identifier
1124714761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 4351053553
- Practice address
- 2800 W Grand Blvd
Detroit, MI 48202-2610 - Phone
- (313) 464-5042
- NPI assigned
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 4351053553 | MI | Primary |
Addresses
Primary practice location
2800 W Grand Blvd
Detroit, MI 48202-2610
Mailing address
2800 W Grand Blvd
Detroit, MI 48202-2610
Phone (313) 464-5042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351053553 | MI | MD | Radiation Oncology Physician |
Interoperability endpoints
- sseppo994888@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1124714761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022610",
"telephone_number": "313-464-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022610",
"telephone_number": "313-464-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPPO",
"first_name": "SAMUEL FRANCK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-17",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4351053553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.