1932285012 NPI number — DR. TAD D SEIFERT M.D.

Table of content: DR. TAD D SEIFERT M.D. (NPI 1932285012)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932285012 NPI number — DR. TAD D SEIFERT M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEIFERT
Provider First Name:
TAD
Provider Middle Name:
D
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932285012
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 950202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40295-0202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-969-6552
Provider Business Mailing Address Fax Number:
502-969-3799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4121 DUTCHMANS LN STE 503
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40207-4730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-899-6782
Provider Business Practice Location Address Fax Number:
502-899-6783
Provider Enumeration Date:
10/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  39880 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 104844 . This is a "SIHO- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200945080 . This is a "ANTHEM INDIANA MEDICAID- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000616417 . This is a "ANTHEM- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 7100080400 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3715318000 . This is a "PASSPORT ADVANTAGE- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 4021564 . This is a "CIGNA- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200945080 . This is a "MEDICAID- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 200945080 . This is a "MANAGED HEALTH SERVICES- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200945080 . This is a "MD WISE- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: P00726832 . This is a "RAILROAD MEDICARE- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000023036M . This is a "HUMANA- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 50023957 . This is a "PASSPORT- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 00533132 . This is a "MEDICARE KY- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200945080 . This is a "HEALTHY INDIANA PLAN- NORTON NEUROLOGY SERVICES" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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