Jerrold Howard Seckler, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036047545 Issued in IL

Practice address

880 W. Central Road
Suite 5200
Arlington Heights, IL 60005

Phone

(847) 259-2410

Fax

(847) 259-8603

NPI assigned

Feb 1, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Urocare LLC

  • Specialist
  • Arlington Heights, IL
  • NPI 1760503700
  NPD Authorized official
• Northwest United Urology, LLC

  • Urology Physician
  • Arlington Heights, IL
  • NPI 1063643252
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1982676342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W. CENTRAL ROAD",
            "address_2": "SUITE 5200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-259-2410",
            "fax_number": "847-259-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W. CENTRAL ROAD",
            "address_2": "SUITE 5200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-259-2410",
            "fax_number": "847-259-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECKLER",
        "first_name": "JERROLD",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036047545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1615843",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C42156",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Schwellenbach, LCPC
• Jennifer Monica Scoggins, OT
• Gregory Marshall Scott, M.D.
• Lauren Ann Scott, D.P.T.
• Kelley Jean Seafield, SLP
• Secure Ride Medical Transport LLC
• Norman E. Segal, M.D,
• Daniel Sego
• Sofia J. Selbka Salituro, M.D.
• Julie Suzanne Semerau

• Urology Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.