Marc Seeley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A14170 Issued in CA

Practice address

5196 Hill Rd E Ste 300
Lakeport, CA 95453-6374

Phone

(707) 263-6885

NPI assigned

Jun 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1851687602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5196 HILL RD E STE 300",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5196 HILL RD E STE 300",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536374",
            "telephone_number": "707-263-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELEY",
        "first_name": "MARC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA165863",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mari Ellen Scholvinck, NAADAC
• Kim Schott
• Sarah Sabina Schuman, CMT, NMT
• John Mathew Schweifler, M.D.
• Charles Joseph Seage, M.D.
• Jenny Senff, FNP, RN
• Robert A Shapiro, MD
• Amber Sheridan
• Steven C. Shifflett, MD
• Unknown Shonduel, OTR/L

• Family Medicine Physician in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.