Provider Demographics
NPI:1730106600
Name:APPLEYARD, SEAN BRIAN (MD)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:BRIAN
Last Name:APPLEYARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15153 KING OF SPAIN CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-6427
Mailing Address - Country:US
Mailing Address - Phone:972-385-1370
Mailing Address - Fax:
Practice Address - Street 1:HANCOCK MEDICAL CENTER--EMERGENCY DEPT
Practice Address - Street 2:149 DRINK WATER BLVD
Practice Address - City:BAY ST. LOOIS
Practice Address - State:MS
Practice Address - Zip Code:39520
Practice Address - Country:US
Practice Address - Phone:228-467-8669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS13053207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00110012Medicaid
55403Medicare ID - Type Unspecified
MS00110012Medicaid