Active NPI
Stephen Michael Seidl, R.PH.
- Pharmacist
- Toledo, OH
National Provider Identifier
1144551243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12179-40
- Practice address
- 333 N Summit St
Toledo, OH 43604-1531 - Phone
- (608) 509-8164
- Fax
- (866) 330-8681
- NPI assigned
- Jan 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12179-40 | WI | Primary |
| Pharmacist | 183500000X | 21631 | IA | |
| Pharmacist | 183500000X | 5302041163 | MI | |
| Pharmacist | 183500000X | 051295616 | IL |
Addresses
Primary practice location
333 N Summit St
Toledo, OH 43604-1531
Mailing address
50 Waubesa St
Madison, WI 53704-5429
Phone (608) 509-8164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21631 | IA | MD | Pharmacist |
| 051295616 | IL | MD | Pharmacist |
| 5302041163 | MI | MD | Pharmacist |
| 12179-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1144551243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WAUBESA ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537045429",
"telephone_number": "608-509-8164",
"fax_number": "866-330-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "608-509-8164",
"fax_number": "866-330-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDL",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12179-40",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21631",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041163",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051295616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.