Individual provider Active NPI

Jeffrey David Seare, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1801172929
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1302 Issued in NV
Practice address
1525 E Windmill LN Ste 201
Las Vegas, NV 89123-1903
Phone
(702) 434-6920
Fax
(702) 434-1524
NPI assigned
Nov 2, 2011
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1302 NV Primary
Physician Assistant 363A00000X PA1302 NV

Addresses

Primary practice location

1525 E Windmill LN Ste 201
Las Vegas, NV 89123-1903

Mailing address

1525 E Windmill LN Ste 201
Las Vegas, NV 89123-1903
Phone (702) 434-6920

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1302NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Bone and Spine Surgery, LLP 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": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1801172929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E WINDMILL LN STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231903",
            "telephone_number": "702-434-6920",
            "fax_number": "702-434-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E WINDMILL LN STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231903",
            "telephone_number": "702-434-6920",
            "fax_number": "702-434-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARE",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1302",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.