Active NPI
Stuart Allan Seale, M.D.
- Family Medicine Physician
- Sedona, AZ
National Provider Identifier
1376584136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34572
- Practice address
- 135 Thunderbird Dr
Sedona, AZ 86336-5152 - Phone
- (928) 274-4415
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Gilbert, AZ
- NPI 1174810766
-
- Clinic/Center
- Sulphur, OK
- NPI 1679664080
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34572 | AZ | MD | Family Medicine Physician |
| 36209 | MO | MD | Family Medicine Physician |
| 24223 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ardmore Institute of Health | Past | Accepting new patients | |
| Renovo Clinic | Past | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34572 | AZ | Primary |
| Family Medicine Physician | 207Q00000X | 36209 | MO | |
| Family Medicine Physician | 207Q00000X | 24223 | OK |
Addresses
Primary practice location
135 Thunderbird Dr
Sedona, AZ 86336-5152
Mailing address
PO Box 431
Sedona, AZ 86339-0431
Phone (928) 274-4415
NPI Registry JSON
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1376584136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 431",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863390431",
"telephone_number": "928-274-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 THUNDERBIRD DR",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365152",
"telephone_number": "928-274-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALE",
"first_name": "STUART",
"middle_name": "ALLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "34572",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "36209",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "24223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.