Active NPI
Sean Clifford McLeod
- Land Ambulance
- Houston, TX
National Provider Identifier
1295914992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000005
- Practice address
- 2800 Jeanetta St
#1408
Houston, TX 77063-4049 - Phone
- (713) 784-1715
- NPI assigned
- Oct 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000005 | TX | Primary |
Addresses
Primary practice location
2800 Jeanetta St
#1408
Houston, TX 77063-4049
Mailing address
PO Box 10245
Liberty, TX 77575-7745
Phone (713) 784-1715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AMB863 | Other | TX | BCBS OF TX |
| 190294201 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000005 | TX | MD | Land Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1295914992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10245",
"city": "LIBERTY",
"state": "TX",
"postal_code": "775757745",
"telephone_number": "713-784-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 JEANETTA ST",
"address_2": "#1408",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770634049",
"telephone_number": "713-784-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "SEAN",
"middle_name": "CLIFFORD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-30",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "1000005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "AMB863",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190294201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.