Active NPI
Kenneth B Seifert, MD
- Vascular Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1134220882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 45490
- Practice address
- 8575 E Princess Dr
Suite 117
Scottsdale, AZ 85255-5483 - Phone
- (480) 496-2696
- NPI assigned
- Sep 26, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME 40657 | FL | |
| Vascular Surgery Physician | 2086S0129X | 7004934-1205 | UT | |
| Vascular Surgery Physician | 2086S0129X | 45490 | AZ | Primary |
Addresses
Primary practice location
8575 E Princess Dr
Suite 117
Scottsdale, AZ 85255-5483
Mailing address
8575 E Princess Dr
Suite 117
Scottsdale, AZ 85255-5483
Phone (480) 496-2696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 40657 | FL | MD | Surgery Physician |
| 45490 | AZ | MD | Vascular Surgery Physician |
| 7004934-1205 | UT | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1134220882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8575 E PRINCESS DR",
"address_2": "SUITE 117",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555483",
"telephone_number": "480-496-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 E PRINCESS DR",
"address_2": "SUITE 117",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555483",
"telephone_number": "480-496-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIFERT",
"first_name": "KENNETH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME 40657",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "UT",
"license": "7004934-1205",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "45490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.