Sean Anthony Maiolo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

65938 Issued in AZ

Practice address

302 W Willis St Ste 107
Prescott, AZ 86301-3032

Phone

(928) 460-2920

NPI assigned

Jun 12, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 27, 2024 through Dec 27, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1487147682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4054",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863024054",
            "telephone_number": "928-460-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W WILLIS ST STE 107",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013032",
            "telephone_number": "928-460-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 4054",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863024054",
            "country_code": "US",
            "telephone_number": "928-710-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIOLO",
        "first_name": "SEAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "65938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggies Hospice, LLC
• Ian M Magonigal, MD
• Nicole Mahan, RDH
• Eileen Frances Mahler, FNP
• Joseph Paul Maidl, P.A.-C
• James Joseph Maiorana, DPT
• Mauricio Mairena, LCSW
• Ana Christina Malachowski, L.M.T, M.M.P,
• Paul M Malczak, DO
• Thad Malik

• Family Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.