Active NPI
Sean Brian Appleyard, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Bay St. Loois, MS
National Provider Identifier
1730106600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 13053
- Practice address
- Hancock Medical Center--Emergency Dept
149 Drink Water Blvd
Bay St. Loois, MS 39520 - Phone
- (228) 467-8669
- NPI assigned
- Jul 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 13053 | MS | Primary |
Addresses
Primary practice location
Hancock Medical Center--Emergency Dept
149 Drink Water Blvd
Bay St. Loois, MS 39520
Mailing address
15153 King of Spain CT
Dallas, TX 75248-6427
Phone (972) 385-1370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00110012 | Medicaid | MS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13053 | MS | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith Van Meter & Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Bay St Louis, MS
- NPI 1093811051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730106600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15153 KING OF SPAIN CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752486427",
"telephone_number": "972-385-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HANCOCK MEDICAL CENTER--EMERGENCY DEPT",
"address_2": "149 DRINK WATER BLVD",
"city": "BAY ST. LOOIS",
"state": "MS",
"postal_code": "39520",
"telephone_number": "228-467-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEYARD",
"first_name": "SEAN",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MS",
"license": "13053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00110012",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
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.