Individual provider Active NPI

Charles Keith Sehon, M.D.

  • Anesthesiology Physician
  • Lafayette, LA
National Provider Identifier
1720003916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD.017085 Issued in LA
Practice address
102 Peck Blvd.
Lafayette, LA 70508-7328
Phone
(337) 984-6214
Fax
(337) 984-6214
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD.017085 LA Primary

Addresses

Primary practice location

102 Peck Blvd.
Lafayette, LA 70508-7328

Mailing address

102 Peck Blvd
Lafayette, LA 70508-7328
Phone (337) 984-6214

Other identifiers 1

IdentifierTypeStateIssuer
1360783MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17085LAMDPharmacist
MD.017085LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parish Anesthesia of Monroe, LLC Anesthesiology Past Accepting new patients
Anesthesia Specialists of Acadiana Anesthesiology Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720003916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PECK BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087328",
            "telephone_number": "337-984-6214",
            "fax_number": "337-984-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PECK BLVD.",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087328",
            "telephone_number": "337-984-6214",
            "fax_number": "337-984-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHON",
        "first_name": "CHARLES",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.017085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1360783",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.