Andrea Rose D'Andrea Seago, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3325 Issued in KY

Practice address

617 23Rd St Ste 400
Ashland, KY 41101-2880

Phone

(606) 329-1770

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Andrea Rose D'Andrea Campos Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH, KY, WV3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
• Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
• Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.seago@marshall.cernerdirect.com
• Direct secure messaging: aseago93007@direct.kdhealth.us

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.

• Kings Daughters Medical Specialties Inc

  • Physical Medicine & Rehabilitation Physician
  • Prestonsburg, KY
  • NPI 1710215736
  Medicare reassignment Care Compare group
• University Physicians & Surgeons, Inc

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1730183286

  Single Specialty

  Medicare reassignment NPD
• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment
• Kings Daughters Medical Specialties Inc

  • Radiation Oncology Physician
  • Ashland, KY
  • NPI 1699565176
  NPD
• Kings Daughters Medical Specialties Inc

  • Cardiovascular Disease Physician
  • Ashland, KY
  • NPI 1972830404

  Single Specialty

  NPD (past)
• Banner Physician Super Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1841573870

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashland Hospital Corporation

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation
• Portsmouth Hospital Corporation

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1417227398
  Care Compare affiliation
• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  Care Compare affiliation

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1831747419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127B N HIGHWAY 14 STE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089557",
            "telephone_number": "505-814-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST STE 400",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012880",
            "telephone_number": "606-329-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4439 State Route 159 Ste 260",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456017502",
            "country_code": "US",
            "telephone_number": "740-779-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12127B Highway 14 N Ste 5",
            "address_purpose": "LOCATION",
            "city": "Cedar Crest",
            "state": "NM",
            "postal_code": "870089557",
            "country_code": "US",
            "telephone_number": "505-281-2460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Medical Center Drive",
            "address_2": "Suite G500",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013655",
            "country_code": "US",
            "telephone_number": "304-691-1787",
            "fax_number": "304-691-8711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAGO",
        "first_name": "ANDREA",
        "middle_name": "ROSE D'ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3325",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.urology@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159 Ste 260",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456017502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.seago@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Drive",
            "address_2": "Suite G500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CAMPOS",
            "middle_name": "ROSE D'ANDREA",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physician Assistant in Ashland, KY
• Providers in Ashland, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.