Active NPI
Sean David Flannery, PA-C
- Physician Assistant
- Wheat Ridge, CO
National Provider Identifier
1871685263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1155
- Practice address
- 4045 Wadsworth Blvd
Suite 250
Wheat Ridge, CO 80033-4642 - Phone
- (303) 425-6012
- Fax
- (303) 467-9211
- NPI assigned
- Sep 29, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1155 | CO | Primary |
Addresses
Primary practice location
4045 Wadsworth Blvd
Suite 250
Wheat Ridge, CO 80033-4642
Mailing address
4045 Wadsworth Blvd
Suite 250
Wheat Ridge, CO 80033-4642
Phone (303) 425-6012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2008 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1155 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth M Bassow-Scheve MD PC | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Wheat Ridge, CO
- NPI 1437340635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1871685263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 WADSWORTH BLVD",
"address_2": "SUITE 250",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334642",
"telephone_number": "303-425-6012",
"fax_number": "303-467-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 WADSWORTH BLVD",
"address_2": "SUITE 250",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334642",
"telephone_number": "303-425-6012",
"fax_number": "303-467-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANNERY",
"first_name": "SEAN",
"middle_name": "DAVID",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.