NPIMap

Individual provider Active NPI

Sean M Jones-Quaidoo, MD

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1548473713
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
P3361 Issued in TX
Practice address
8440 Walnut Hill LN Ste 230
Dallas, TX 75231-3816
Phone
(214) 452-7705
Fax
(214) 377-8831
NPI assigned
May 7, 2007
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116017695 VA
Orthopaedic Surgery of the Spine Physician 207XS0117X 44065 KY
Orthopaedic Surgery of the Spine Physician 207XS0117X P3361 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN Ste 230
Dallas, TX 75231-3816

Mailing address

8440 Walnut Hill LN Ste 230
Dallas, TX 75231-3833
Phone (214) 452-7705

Other identifiers 9

IdentifierTypeStateIssuer
000057120TOtherKYHUMANA- NORTON LEATHERMAN SPINE
126874OtherKYSIHO- NORTON LEATHERMAN SPINE
201030130OtherINMEDICAID-- NLSC
000000720951OtherKYANTHEM- NORTON LEATHERMAN SPINE
9447007OtherKYCIGNA -- NLSC
50034085OtherKYPASSPORT HEALTH- NORTON LEATHERMAN SPINE
7100166460OtherKYMEDICAID- NORTON LEATHERMAN SPINE CENTER
352428ZGRCOtherTXMEDICARE GROUP, MEMBER PROVIDER NUMBER
K030630OtherKYMEDICARE PTAN -- NORTON LEATHERMAN SPINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000559 TX Practitioner - Orthopedic Surgery 3375711740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine Vue PLLCGroup PAC ID 1951525492, 2 clinicians

Practice addresses (Care Compare)

8440 Walnut Hill LN
Suite 230
Dallas, TX 75231-3816
Phone (214) 452-7705

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion104
Laminectomy or laminotomy (partial removal of spine bones)28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P3361TXMDOrthopaedic Surgery of the Spine Physician
0116017695VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroaccuracy, PLCC Orthopaedic Surgery of the Spine Current Accepting new patients
Athens Anesthesia PLLC Current Accepting new patients
Spine Vue, PLLC Orthopaedic Surgery of the Spine CurrentSince Apr 1, 2014 Accepting new patients

Locations

8440 Walnut Hill Ln
Ste 230
Dallas, TX 75231
Phone (214) 452-7705

204 Medical Dr
Ste 100
Sherman, TX 75092
Phone (214) 452-7705

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8625/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAAEAD/Endpoint/CAAEAD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1548473713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313833",
            "telephone_number": "214-452-7705",
            "fax_number": "214-377-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313816",
            "telephone_number": "214-452-7705",
            "fax_number": "214-377-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-QUAIDOO",
        "first_name": "SEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116017695",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "44065",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "P3361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON LEATHERMAN SPINE",
            "identifier": "000057120T",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO- NORTON LEATHERMAN SPINE",
            "identifier": "126874",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-- NLSC",
            "identifier": "201030130",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON LEATHERMAN SPINE",
            "identifier": "000000720951",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA -- NLSC",
            "identifier": "9447007",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH-  NORTON LEATHERMAN SPINE",
            "identifier": "50034085",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- NORTON LEATHERMAN SPINE CENTER",
            "identifier": "7100166460",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP, MEMBER PROVIDER NUMBER",
            "identifier": "352428ZGRC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN -- NORTON LEATHERMAN SPINE",
            "identifier": "K030630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.