Active NPI
Robert D Seaton, M.D.
- Nephrology Physician
- Show Low, AZ
National Provider Identifier
1942207246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 45134
- Practice address
- 1500 S White Mountain Blvd #201
Akdhc
Show Low, AZ 85901-0000 - Phone
- (928) 251-0386
- Fax
- (928) 251-0389
- NPI assigned
- Jun 30, 2005
- Last updated
- Feb 10, 2016
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 45134 | AZ | Primary |
Addresses
Primary practice location
1500 S White Mountain Blvd #201
Akdhc
Show Low, AZ 85901-0000
Mailing address
3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018-2322
Phone (602) 997-0484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45134 | Other | AZ | AZ MEDICAL LICENSE |
| 626978 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45134 | AZ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Nephrology Physicians PA | Nephrology | Past | Accepting new patients |
| Kansas Vascular Access Center LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Wichita, KS
- NPI 1093780454
-
- Specialist
- Wichita, KS
- NPI 1306956867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1942207246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 E CAMELBACK RD",
"address_2": "STE 180",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182322",
"telephone_number": "602-997-0484",
"fax_number": "602-224-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S WHITE MOUNTAIN BLVD #201",
"address_2": "AKDHC",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859010000",
"telephone_number": "928-251-0386",
"fax_number": "928-251-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEATON",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AZ",
"license": "45134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ MEDICAL LICENSE",
"identifier": "45134",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "626978",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.