NPIMap

Individual provider Active NPI

Sean M Scearce, PA

  • Medical Physician Assistant
  • Tahlequah, OK
National Provider Identifier
1194715730
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
869 Issued in OK
Practice address
1203 E Ross Byp
Suite a
Tahlequah, OK 74464-4133
Phone
(918) 453-1234
Fax
(918) 453-9107
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 869 OK Primary

Addresses

Primary practice location

1203 E Ross Byp
Suite a
Tahlequah, OK 74464-4133

Mailing address

1203 E Ross Byp
Suite a
Tahlequah, OK 74464-4133
Phone (918) 453-1234

Other identifiers 5

IdentifierTypeStateIssuer
100108530AMedicaidOK
P00299307OtherOKRAILROAD MEDICARE PIN
DA5295OtherOKRAILROAD MEDICARE GROUP
400522239OtherOKMEDICARE GROUP PTAN
200000030AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000233 OK Practitioner - Physician Assistant 2163492349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tahlequah Medical Group LLCGroup PAC ID 4082861349, 16 clinicians
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians

Practice addresses (Care Compare)

1400 E Downing
Tahlequah City Hospital
Tahleqhah, OK 74464-3324
Phone (918) 456-0641

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
869OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince Jun 1, 2004 Accepting new patients
Northeastern Health System CurrentSince Jun 1, 2004 Accepting new patients
Tracey W. Childers, D.O. P.C. Past Accepting new patients
LMC Medical Group LLC Past Accepting new patients
Surgical Consultants of Muskogee PC Past Accepting new patients

Locations

213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100

1203 E Ross Byp
Ste A
Tahlequah, OK 74464
Phone (918) 453-1234

1203 E Ross Byp
Tahlequah, OK 74464
Phone (918) 453-1234

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1194715730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E ROSS BYP",
            "address_2": "SUITE A",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644133",
            "telephone_number": "918-453-1234",
            "fax_number": "918-453-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E ROSS BYP",
            "address_2": "SUITE A",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644133",
            "telephone_number": "918-453-1234",
            "fax_number": "918-453-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCEARCE",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108530A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00299307",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DA5295",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "400522239",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.