Active NPI
Lawrence Seidenstein, MD
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
National Provider Identifier
1255310116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME37167
- Practice address
- 1620 Medical LN
Suite 100
Ft Myers, FL 33907-1143 - Phone
- (239) 939-2305
- Fax
- (239) 939-0947
- NPI assigned
- Jan 10, 2006
- Last updated
- May 29, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME37167 | FL | Primary |
| Immunopathology Physician | 207ZI0100X | ME37167 | FL | |
| Hematology (Pathology) Physician | 207ZH0000X | ME37167 | FL |
Addresses
Primary practice location
1620 Medical LN
Suite 100
Ft Myers, FL 33907-1143
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (239) 939-2305
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME37167 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath Florida LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1962254987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1255310116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "239-939-2305",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 MEDICAL LN",
"address_2": "SUITE 100",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339071143",
"telephone_number": "239-939-2305",
"fax_number": "239-939-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDENSTEIN",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME37167",
"primary": true
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "FL",
"license": "ME37167",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "FL",
"license": "ME37167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.