Organization Active NPI

Michael R Seals MD, PA

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1578614004
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J3901 Issued in TX
Legal business name
MICHAEL R SEALS MD, PA
Practice address
6130 W Parker Rd
Mob 1 Ste 103
Plano, TX 75093-7901
Phone
(972) 965-3855
Fax
(972) 473-2257
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Dr. Michael R Seals, M.D. P.A.NPI 1689677056
Title
Owner
Phone
(972) 965-3855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X J3901 TX
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X J3901 TX Primary

Addresses

Primary practice location

6130 W Parker Rd
Mob 1 Ste 103
Plano, TX 75093-7901

Mailing address

PO Box 117536
Atlanta, GA 30368-7536
Phone (615) 346-8182

Other identifiers 2

IdentifierTypeStateIssuer
162317501MedicaidTX
0034KCOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804000532 TX Part B Supplier - Clinic/Group Practice 8224009121 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

6200 W Parker Rd
Ofc
Plano, TX 75093
Phone (972) 473-0190

6130 W Parker Rd
Ste 103
Plano, TX 75093
Phone (214) 361-2300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1578614004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117536",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687536",
            "telephone_number": "615-346-8182",
            "fax_number": "615-829-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD",
            "address_2": "MOB 1 STE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937901",
            "telephone_number": "972-965-3855",
            "fax_number": "972-473-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R SEALS MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "SEALS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-965-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3901",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J3901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162317501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0034KC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.