MEDICARE: MR. FRANK JOSEPH SECK DO

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	OS 12676	FL
2	207Q00000X	Family Medicine Physician	5101009758	MI
3	207Q00000X	Family Medicine Physician	DO2574	NV

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	010055913	OTHER	MI	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080B610190	OTHER	MI	BLUE CROSS
2	DO2574	OTHER	NV	STATE LICENSE
3	5571250	OTHER	MI	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1790777811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANK JOSEPH SECK DO

Provider Business Mailing Address
First Line	:	6355 S BUFFALO DR FL 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2133
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	786 W PIONEER BLVD STE A
Second Line	:
City	:	MESQUITE
State	:	NV
Zip	:	89027-8862
Country	:	US
Telephone Number	:	702-345-5000
Fax Number	:	702-345-2000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	10/20/2022