Active NPI
Ross Thomas Seitter
- Athletic Trainer
- New Haven, MO
National Provider Identifier
1194280230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3472 Highway Y
New Haven, MO 63068-2402 - Phone
- (636) 221-4040
- NPI assigned
- Feb 3, 2019
- Last updated
- Feb 3, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
3472 Highway Y
New Haven, MO 63068-2402
Mailing address
3472 Highway Y
New Haven, MO 63068-2402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 973054940 | Other | MO | UNITED HEALTHCARE |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549152000000",
"number": "1194280230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3472 HIGHWAY Y",
"city": "NEW HAVEN",
"state": "MO",
"postal_code": "630682402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3472 HIGHWAY Y",
"city": "NEW HAVEN",
"state": "MO",
"postal_code": "630682402",
"telephone_number": "636-221-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEITTER",
"first_name": "ROSS",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-03",
"last_updated": "2019-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "973054940",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.