Fdseifer PLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

19055 Issued in TN

Legal business name

FDSEIFER PLC

Practice address

112 Airport Business Park Road
Suite D
Shelbyville, TN 37160-7447

Phone

(931) 684-0488

Fax

(931) 684-2466

NPI assigned

Feb 6, 2009

Organization subpart

No

Name

Dr. Frederic D Seifer, M.D.

Title

Owner

Phone

(931) 684-0488

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas J Nedumthottathil, M.D.

  • Internal Medicine Physician
  • Shelbyville, TN
  • NPI 1730241159
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2010.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1235378787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUSINESS PARK ROAD",
            "address_2": "SUITE D",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607447",
            "telephone_number": "931-684-0488",
            "fax_number": "931-684-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AIRPORT BUSINESS PARK ROAD",
            "address_2": "SUITE D",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607447",
            "telephone_number": "931-684-0488",
            "fax_number": "931-684-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDSEIFER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "SEIFER",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-684-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "19055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4213638",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Celeste Fernandez
• Rebecca Fetters

• All providers in Shelbyville, TN
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.