Individual provider Active NPI

Sean Anthony McGiveron, PA-C

  • Physician Assistant
  • Catonsville, MD
National Provider Identifier
1205394723
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007145 Issued in MD
Practice address
910 Frederick Rd
Catonsville, MD 21228-4516
Phone
(410) 644-1880
NPI assigned
Mar 4, 2019
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0007145 MD Primary

Addresses

Primary practice location

910 Frederick Rd
Catonsville, MD 21228-4516

Mailing address

910 Frederick Rd
Catonsville, MD 21228-4516

Other practice location 1

10710 Charter Dr
Columbia, MD 21044-3128
Phone (410) 644-1880

Other practice location 2

6707 Democracy Blvd Ste 504
Bethesda, MD 20817-1166
Phone (301) 637-8712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190517000620 MD Practitioner - Physician Assistant 2365785128 Reassigns benefits to 2 organizations
I20250408000399 VA Practitioner - Physician Assistant 2365785128 Reassigns benefits to 1 organization
I20251009002545 DC Practitioner - Physician Assistant 2365785128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

6300 Georgetown Blvd
Eldersburg, MD 21784-6481
Phone (410) 644-1880

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 694-8311

910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007145MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 6, 2019 Accepting new patients
St Agnes Healthcare Inc Physician Assistant CurrentSince Apr 19, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 6, 2019 Accepting new patients
St Agnes Healthcare Inc CurrentSince Apr 19, 2022 Accepting new patients
Centers for Advanced Orthopaedics LLC CurrentSince Dec 18, 2024 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

6707 Democracy Blvd
Ste 504
Bethesda, MD 20817
Phone (301) 637-8712

910 Frederick Rd
Catonsville, MD 21228

12143 Clarksville Pike
Ste 101
Clarksville, MD 21029
Phone (443) 230-5339

10285 Little Patuxent Pkwy
Ste 400
Columbia, MD 21044

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

6300 Georgetown Blvd
Eldersburg, MD 21784
Phone (410) 549-6250

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

5961 Exchange Dr
Ste 100
Sykesville, MD 21784
Phone (410) 964-2212

405 N Center St
Ste 28
Westminster, MD 21157

8525 Rolling Rd
Ste 300
Manassas, VA 20110
Phone 7033931667204

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

Interoperability endpoints

  • Direct secure messaging: 17smcgiveron@cfaortho.emadirect.md
  • Direct secure messaging: sean.mcgiveron@1421.chartlogic.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1205394723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284516",
            "telephone_number": "410-644-1880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 Charter Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443128",
            "country_code": "US",
            "telephone_number": "410-644-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6707 Democracy Blvd Ste 504",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171166",
            "country_code": "US",
            "telephone_number": "301-637-8712",
            "fax_number": "301-547-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGIVERON",
        "first_name": "SEAN",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.