Eric Seidel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD022696E Issued in PA

Practice address

107 S Sporting Hill Rd
Mechanicsburg, PA 17050-3058

Phone

(717) 943-1781

Fax

(717) 943-1782

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1104850767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758963",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212758963",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S SPORTING HILL RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503058",
            "telephone_number": "717-943-1781",
            "fax_number": "717-943-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD022696E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000896696",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli L Scurfield, PA-C
• Jadyn Danae Seaforth
• Carol Sebulonde, AGACNP-BC
• Lindsay Rose Seeger
• Danielle M Seibert, OTR/L
• Jessica Seiger
• Adam M Seitz, MD
• Frozan Sekander
• Select Physical Therapy Holdings, Inc
• Select Physical Therapy Holdings, Inc.

• Family Medicine Physician in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.