Seitz Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

85282A Issued in WY

Legal business name

SEITZ DERMATOLOGY, PC

Practice address

2112 Seymour Ave
Cheyenne, WY 82001-3830

Phone

(307) 635-8299

Fax

(307) 635-6984

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory W Seitz, MDNPI 1962676353

Title

President

Phone

(307) 635-8299

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Gregory Seitz

  • Dermatology Physician
  • Cheyenne, WY
  • NPI 1962676353
  Medicare reassignment Care Compare group NPD Authorized official
• Tamara L Mason, DNP,FNP-C

  • Nurse Practitioner
  • Cheyenne, WY
  • NPI 1407330996
  Medicare reassignment Care Compare group NPD
• Frances Colleen Basham, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Wellington, CO
  • NPI 1467238790

  WY

  Medicare reassignment NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1265500946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 SEYMOUR AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013830",
            "telephone_number": "307-635-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 SEYMOUR AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013830",
            "telephone_number": "307-635-8299",
            "fax_number": "307-635-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEITZ DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-635-8299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WY",
            "license": "85282A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131660500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jannene Sneddon Sebesta, FNP-C
• Secure Health Supply
• Janet Marie Sedlack, DDS
• Seeking Wisdom Counseling LLC
• Brandon Sego, M.A., PPC, LPCC
• Gregory Seitz
• Larry E Seitz, MD
• Selah Medical, LLC
• Bethany Self, M.S., CCC-SLP
• Alicia Selfridge

• Dermatology Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Dermatology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.