Individual provider Active NPI

Sean Brian Appleyard, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bay St. Loois, MS
National Provider Identifier
1730106600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
13053 Issued in MS
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
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

IdentifierTypeStateIssuer
00110012MedicaidMS

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
13053MSMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.