Active NPI
John E. Seguin, M.D.
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1750313193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19008
- Practice address
- 1919 E Memorial Rd
Oklahoma City, OK 73131-1253 - Phone
- (405) 341-7009
- Fax
- (405) 330-1811
- NPI assigned
- Jul 7, 2006
- Last updated
- Oct 2, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19008 | OK | Primary |
Addresses
Primary practice location
1919 E Memorial Rd
Oklahoma City, OK 73131-1253
Mailing address
1919 E Memorial Rd
Oklahoma City, OK 73131-1253
Phone (405) 341-4009
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731381689SEG | Other | OK | PREMIERE |
| 100091890A | Medicaid | OK | |
| 19008 | Other | OK | LICENSE |
| 080174080 | Other | OK | RAILROAD |
| 17699 | Other | OK | OBNDD |
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 |
|---|---|---|---|
| 19008 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients |
Interoperability endpoints
- jseguin1034@directa.mercy.net
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.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1750313193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 E MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731311253",
"telephone_number": "405-341-4009",
"fax_number": "405-330-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E MEMORIAL RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731311253",
"telephone_number": "405-341-7009",
"fax_number": "405-330-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGUIN",
"first_name": "JOHN",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "19008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIERE",
"identifier": "731381689SEG",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100091890A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "19008",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "080174080",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OBNDD",
"identifier": "17699",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.