Individual provider Active NPI

Kimberly Seaver, DPM

  • Podiatrist
  • Middletown, OH
National Provider Identifier
1154383941
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002811 Issued in OH
Practice address
3913 Roosevelt Blvd
Middletown, OH 45044-6674
Phone
(513) 727-8444
Fax
(513) 423-2677
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002811 OH Primary

Addresses

Primary practice location

3913 Roosevelt Blvd
Middletown, OH 45044-6674

Mailing address

630 W Main St
Suite 104
Wilmington, OH 45177-2170
Phone (937) 383-2311

Other identifiers 4

IdentifierTypeStateIssuer
000000301133OtherOHBCBS
0914407MedicaidOH
000000018189OtherOHBCBS
2700678OtherOHUNITD HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000236 OH Practitioner - Podiatry 8628073103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Foot and Ankle IncGroup PAC ID 4981637279, 2 clinicians

Practice addresses (Care Compare)

630 W Main St
Suite 203
Wilmington, OH 45177-2171
Phone (937) 383-2311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002811OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Foot and Ankle Inc Podiatrist CurrentSince Jan 1, 1998 Accepting new patients

Locations

3913 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 423-0141

630 W Main St
Ste 203
Wilmington, OH 45177
Phone (937) 383-2311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1154383941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST",
            "address_2": "SUITE 104",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772170",
            "telephone_number": "937-383-2311",
            "fax_number": "937-383-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 ROOSEVELT BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446674",
            "telephone_number": "513-727-8444",
            "fax_number": "513-423-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAVER",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000301133",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914407",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000018189",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITD HEALTH CARE",
            "identifier": "2700678",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.