Organization Active NPI

Robert W Seaton, MD PC

  • Specialist
  • Ruidoso, NM
National Provider Identifier
1295887271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
97-140 Issued in NM
Legal business name
ROBERT W SEATON, MD PC
Practice address
200 Sudderth Dr.
Suite B
Ruidoso, NM 88345
Phone
(505) 257-5611
Fax
(505) 257-7069
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert W. Seaton, MDNPI 1144217563
Title
Doctor
Phone
(505) 257-5611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 97-140 NM Primary

Addresses

Primary practice location

200 Sudderth Dr.
Suite B
Ruidoso, NM 88345

Mailing address

200 Sudderth Dr.
Suite B
Ruidoso, NM 88345
Phone (505) 257-5611

Other identifiers 2

IdentifierTypeStateIssuer
1144217563OtherNMPRIVATE PRACTICE NPI
66007526MedicaidNM

National Provider Directory

National Provider Directory

Locations

200 Sudderth Dr
Ste B
Ruidoso, NM 88345
Phone (505) 257-5611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295887271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SUDDERTH DR.",
            "address_2": "SUITE B",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "88345",
            "telephone_number": "505-257-5611",
            "fax_number": "505-257-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SUDDERTH DR.",
            "address_2": "SUITE B",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "88345",
            "telephone_number": "505-257-5611",
            "fax_number": "505-257-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W SEATON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEATON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "505-257-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "97-140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE NPI",
            "identifier": "1144217563",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66007526",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.