Provider Demographics
NPI:1689282998
Name:SEAN M ORMOND MD LLC
Entity Type:Organization
Organization Name:SEAN M ORMOND MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-492-9821
Mailing Address - Street 1:20033 N 19TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4247
Mailing Address - Country:US
Mailing Address - Phone:602-492-9821
Mailing Address - Fax:602-492-9822
Practice Address - Street 1:18205 N 51ST AVE STE 125
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1491
Practice Address - Country:US
Practice Address - Phone:602-492-9821
Practice Address - Fax:602-492-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty