Active NPI
Stephanie A Sea, MD
- Trauma Surgery Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- MD60809530
- Practice address
- 505 NE 87TH Ave Ste 301
Vancouver, WA 98664-1965 - Phone
- (360) 514-1854
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | S00078181763 | IL | |
| Surgery Physician | 208600000X | MD60809530 | WA | |
| Trauma Surgery Physician | 2086S0127X | 302248 | LA | |
| Trauma Surgery Physician | 2086S0127X | MD60809530 | WA | Primary |
Addresses
Primary practice location
505 NE 87TH Ave Ste 301
Vancouver, WA 98664-1965
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0006
Other practice location 1
7777 Hennessy Blvd
Suite 700
Baton Rouge, LA 70808-4300
Phone (225) 765-2048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Southern Illinois University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 NE 87TH Ave
Vancouver, WA 98664-1965
8821 NE 5TH St
Vancouver, WA 98664-3200
Phone (360) 514-1900
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S00078181763 | IL | MD | Surgery Physician |
| 302248 | LA | MD | Trauma Surgery Physician |
| MD60809530 | WA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Surgery | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Surgery | Past | Accepting new patients |
| Lsuhn Billing LLC | Past | Accepting new patients |
Locations
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
Interoperability endpoints
- ssea363627@direct.peacehealth.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Vancouver, WA
- NPI 1609061969
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386809739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-526-0006",
"fax_number": "225-765-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 NE 87TH AVE STE 301",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641965",
"telephone_number": "360-514-1854"
}
],
"practiceLocations": [
{
"address_1": "7777 Hennessy Blvd",
"address_2": "Suite 700",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084300",
"country_code": "US",
"telephone_number": "225-765-2048",
"fax_number": "225-765-1958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEA",
"first_name": "STEPHANIE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "S00078181763",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60809530",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "LA",
"license": "302248",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WA",
"license": "MD60809530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.