DR. JAMES ESTES SEABOLD MD, NPI 1720012156 — PHOENIX (AZ)

NPI 1720012156

13+ Years Experience Individual

DR. JAMES ESTES SEABOLD MD

07.10.2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1720012156
NPI NUMBER

About DR. JAMES ESTES SEABOLD

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. JAMES ESTES SEABOLD is a provider established in PHOENIX, AZ. The NPI number of DR. JAMES ESTES SEABOLD is 1720012156 and was assigned on 07.10.2006. The practitioners primary taxonomy code is: 2085N0904X with license number: 22895 IA .

Mailing address

  • City: PHOENIX
  • State: AZ
  • Postal code: 850223227
  • Address: 1202 E TIERRA BUENA LN

Primary Practice Address

  • Region : PHOENIX, AZ
  • NPI : 1720012156
  • Phone : 6022775551
  • Fax : 6022222617
  • Postalcode : 850121839
  • Address : 650 E INDIAN SCHOOL RD

Provider taxonomy - Radiology

  • Taxonomy code: 2085N0904X
  • License number: 22895
  • License state: IA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

Contacts:

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  • DR. JAMES ESTES SEABOLD MD
  • Address : 650 E INDIAN SCHOOL RD
  • Region : PHOENIX, AZ
  • NPI : 1720012156
  • Phone : 6022775551
  • Fax : 6022222617
  • Postalcode : 850121839

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address650 E INDIAN SCHOOL RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NamePHOENIX
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAZ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code850121839
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6022775551
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number6022222617
The fax number associated with the location address of the provider being identified.
NPI1720012156
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12085N0904X
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Provider Enumeration Date07.10.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. JAMES ESTES SEABOLD
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1202 E TIERRA BUENA LN
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NamePHOENIX
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAZ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code850223227
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Healthcare Provider Taxonomy Code #12085N0904X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Radiology
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Provider License Number 122895
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1IA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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