Individual provider Active NPI

Michael Prescott Seaman, D.O,

  • Emergency Medicine Physician
  • Harrogate, TN
National Provider Identifier
1336119320
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
179979 Issued in NY
Practice address
165 Westmoreland St
Harrogate, TN 37752-8202
Phone
(423) 869-7193
Fax
(423) 869-7195
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 179979 NY Primary

Addresses

Primary practice location

165 Westmoreland St
Harrogate, TN 37752-8202

Mailing address

165 Westmoreland St
Harrogate, TN 37752-8202
Phone (423) 869-7193

Other identifiers 1

IdentifierTypeStateIssuer
3300011OtherTNMEDICARE, ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151109001252 TN Order and Referring Only - Family PracticePractitioner - Family Practice 1658327408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
179979NYMDEmergency Medicine Physician
1878TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Pine Mountain Emergency Physicians Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1336119320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WESTMORELAND ST",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528202",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WESTMORELAND ST",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528202",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAMAN",
        "first_name": "MICHAEL",
        "middle_name": "PRESCOTT",
        "credential": "D.O,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "179979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, ID",
            "identifier": "3300011",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrogate, TN

Sources for this page

Verify at the official NPI Registry.