Individual provider Active NPI

Sean M Rees, MD

  • Emergency Medicine Physician
  • Salmon, ID
National Provider Identifier
1902851868
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00036874 Issued in WA
Practice address
203 S Daisy St
Salmon, ID 83467-4709
Phone
(208) 756-5655
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00036874 WA Primary

Addresses

Primary practice location

203 S Daisy St
Salmon, ID 83467-4709

Mailing address

203 S Daisy St
Salmon, ID 83467-4709

Other identifiers 2

IdentifierTypeStateIssuer
8235947MedicaidWA
278166MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050915000490 WA Practitioner - Emergency Medicine 9739112160 Reassigns benefits to 1 organization
I20210526001984 OR Practitioner - Emergency Medicine 9739112160 Reassigns benefits to 1 organization
I20210923001257 ID Practitioner - Emergency Medicine 9739112160 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Steele Memorial Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Healogics Specialty Physicians of Oregon, LLC Emergency Medicine CurrentSince May 17, 2021 Accepting new patients
Steele Memorial Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Feb 1, 2014 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

392 NE Norton Ln
McMinnville, OR 97128
Phone (503) 434-6060

375 SE Norton Ln
Ste A
McMinnville, OR 97128
Phone (503) 472-5749

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1902851868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S DAISY ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S DAISY ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674709",
            "telephone_number": "208-756-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00036874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8235947",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278166",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

Verify at the official NPI Registry.