Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 52065 | MN |
N | 111NI0900X | Internist | 52065 | MN |
N | 207RC0000X | Internist - Cardiovascular Disease | 04-39165 | KS |
N | 207RC0000X | Internist - Cardiovascular Disease | 4301105906 | MI |
N | 207RC0000X | Internist - Cardiovascular Disease | 52065 | MN |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 04-39165 | KS |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 2016022289 | MO |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 4301105906 | MI |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 4301105906 | MN |
NPI | 1245488899 |
---|---|
Provider Name | Seth H Sheldon |
First Address | Kansas City, KS 66160-8501 |
Second Address | Kansas City, KS 66160-8501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 18/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1245488899 | (05) | MO |
201119070A | (05) | KS |
201140540C | (05) | KS |
ENROLLED | (05) | MN |
P01111044 | MEDICARE RAILROAD (01) | MN |