Sean Michael Driscoll, MD
Individual provider Active NPI General Practice Physician · Quantico, VA
NPI 1487814877 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1487814877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 01067460A (IN)
- Practice address
- 3259 Catlin Avenue
Quantico, VA 22134-6050 - Phone
- (703) 784-5351
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067460A | IN | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01067460A | IN | Yes |
Addresses
Primary practice location
3259 Catlin Avenue
Quantico, VA 22134-6050
Mailing address
3259 Catlin Avenue
Quantico, VA 22134
Other providers in Quantico, VA
- Shane Izon Datugan
- Paula Davidson
- Ramesh D Doshi
- Althea Douglas
- Caroline Rose Doyle
- Adrian L Dunkerley
- Samantha Elizabeth Dunn
- Timothy William Dwyer
- Gloria A Ekuban
- Sarah Elizabeth Ellen
All providers in Quantico, VA · General Practice Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.