Active NPI
Sean L Sweeney, DO
- Neonatal-Perinatal Medicine Physician
- Portland, OR
National Provider Identifier
1457319295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2003025745
- Practice address
- 501 N Graham St Ste 265
Portland, OR 97227-2000 - Phone
- (503) 282-7002
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2003025745 | MO | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | DO28114 | OR | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | OP00002323 | WA |
Addresses
Primary practice location
501 N Graham St Ste 265
Portland, OR 97227-2000
Mailing address
501 N Graham St Ste 265
Portland, OR 97227-2000
Phone (503) 282-7002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003025745 | Other | MO | MO LICENSE |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003025745 | MO | MD | Neonatal-Perinatal Medicine Physician |
| DO28114 | OR | MD | Neonatal-Perinatal Medicine Physician |
| OP00002323 | WA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Newborn Specialists PC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Neonatal-Perinatal Medicine Physician
- Orange, CA
- NPI 1235135302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1457319295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST STE 265",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972272000",
"telephone_number": "503-282-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST STE 265",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972272000",
"telephone_number": "503-282-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "SEAN",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MO",
"license": "2003025745",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OR",
"license": "DO28114",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WA",
"license": "OP00002323",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO LICENSE",
"identifier": "2003025745",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.