Sean P Scully, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

9300310 Issued in NC

Practice address

2145 Country Club Rd
Jacksonville, NC 28546-2400

Phone

(910) 939-5759

Fax

(910) 939-4951

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• University of Miami

  • Orthopaedic Surgery Physician
  • Miami, FL
  • NPI 1174575609
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1174587745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE",
            "address_2": "SUITE E",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572974",
            "telephone_number": "252-247-2101",
            "fax_number": "252-247-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COUNTRY CLUB RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462400",
            "telephone_number": "910-939-5759",
            "fax_number": "910-939-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "SEAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "9300310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nicole Sciremammano, LCMHC-A
• Anita Scott
• Makala Scott
• Patricia Ann Scott, LCSW
• Haley Ann Scovill, MSPED
• Kevin Reid Scyoc, CEO, PM-C, COHC, RMA
• Seacoast Cardiology Consultants, PLLC
• Kevin Randel Seale, CRNA-APRN
• Jeremy B Seamon, MA, LPC, LCAS, CSI
• Shannon Seeberger, PT, DPT

• Orthopaedic Surgery Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.