Michael Anthony Seivert, D.O.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

2109 Issued in AZ

Practice address

4611 E Shea Blvd
Suite 200
Phoenix, AZ 85028-4254

Phone

(602) 265-9900

Fax

(602) 265-4130

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1437175783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-265-9900",
            "fax_number": "602-265-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-265-9900",
            "fax_number": "602-265-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIVERT",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "2109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "(OWCP) DOL PROVIDER NO.",
            "identifier": "611371700",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PARTICIPATING PROV #",
            "identifier": "AZ0424940",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Truman Seiler IV, D.M.D.
• Kathryn Meagan Seils, PA
• Dana Seiss
• Seivert Orthopedics & Sprots Medicine, P.C.
• Seivert Orthopedics and Sports Medicine,PC
• Divyesh V Sejpal, MD
• Nafisa Sekandari, PSY.D.
• Sruthi Sekaran, MD
• Nima Sekhadia, MD
• Anurit Sekhon

• Sports Medicine (Orthopaedic Surgery) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.