Organization Active NPI

John W. Sealey, D.O., P.C.

  • Vascular Surgery Physician
  • Detroit, MI
National Provider Identifier
1518171420
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
5101007184 Issued in MI
Legal business name
JOHN W. SEALEY, D.O., P.C.
Practice address
6001 W Outer Dr
Suite 445
Detroit, MI 48235-2614
Phone
(313) 342-2369
Fax
(313) 342-2133
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
John Wesley Sealey, D.O.
Title
President
Phone
(313) 342-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 5101007184 MI Primary

Addresses

Primary practice location

6001 W Outer Dr
Suite 445
Detroit, MI 48235-2614

Mailing address

6001 W Outer Dr
Suite 445
Detroit, MI 48235-2614
Phone (313) 342-2369

National Provider Directory

National Provider Directory

Locations

7633 E Jefferson Ave
Ste 220
Detroit, MI 48214
Phone (313) 821-9002

16250 Northland Dr
Ste 310
Southfield, MI 48075
Phone (248) 595-8398

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1518171420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR",
            "address_2": "SUITE 445",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352614",
            "telephone_number": "313-342-2369",
            "fax_number": "313-342-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR",
            "address_2": "SUITE 445",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352614",
            "telephone_number": "313-342-2369",
            "fax_number": "313-342-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W. SEALEY, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "SEALEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-342-2369",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101007184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.