Active NPI
Sean F Cleary, MD
- Radiation Oncology Physician
- Yakima, WA
National Provider Identifier
1164501342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD00032581
- Practice address
- 808 N 39TH Ave
Yakima, WA 98902-6388 - Phone
- (509) 574-3500
- NPI assigned
- Nov 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD00032581 | WA | Primary |
Addresses
Primary practice location
808 N 39TH Ave
Yakima, WA 98902-6388
Mailing address
PO Box 1272
Yakima, WA 98907-1272
Phone (509) 452-7212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8173890 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1164501342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1272",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989071272",
"telephone_number": "509-452-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N 39TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026388",
"telephone_number": "509-574-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "SEAN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD00032581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8173890",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.