Individual provider Active NPI

Ernest E Seckel, DPM

  • Foot Surgery Podiatrist
  • Guntersville, AL
National Provider Identifier
1851454243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
28 Issued in AL
Practice address
12221 US Highway 431
Guntersville, AL 35976-9356
Phone
(256) 891-0123
Fax
(256) 891-3131
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

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
Foot Surgery Podiatrist 213ES0131X 28 AL Primary

Addresses

Primary practice location

12221 US Highway 431
Guntersville, AL 35976-9356

Mailing address

12221 US Highway 431
Guntersville, AL 35976-9356
Phone (256) 891-0123

Other identifiers 2

IdentifierTypeStateIssuer
5574940001OtherALDMERC
51001067OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28ALMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851454243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 US HIGHWAY 431",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359769356",
            "telephone_number": "256-891-0123",
            "fax_number": "256-891-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 US HIGHWAY 431",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359769356",
            "telephone_number": "256-891-0123",
            "fax_number": "256-891-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECKEL",
        "first_name": "ERNEST",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "28",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5574940001",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51001067",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.