Individual provider Active NPI

Craig A Seicshnaydre, M.D.

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1275507873
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022764 Issued in LA
Practice address
1202 S. Tyler Street
Covington, LA 70433-2330
Phone
(985) 898-4194
Fax
(985) 898-4164
NPI assigned
Feb 13, 2006
Last updated
Apr 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022764 LA Primary

Addresses

Primary practice location

1202 S. Tyler Street
Covington, LA 70433-2330

Mailing address

1202 S. Tyler Street
Covington, LA 70433-2330
Phone (985) 898-4194

Other identifiers 1

IdentifierTypeStateIssuer
1497886MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000658 LA Practitioner - Internal Medicine 6901701416 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

7014 Meadowbrook Dr
Mandeville, LA 70471-7403
Phone (985) 373-5656

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022764LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 Internal Medicine CurrentSince Nov 1, 2005 Accepting new patients
In and Out Urgent Care Covington, LLC CurrentSince Aug 29, 2023 Accepting new patients
In and Out Urgent Care of Metairie, LLC CurrentSince Jul 29, 2023 Accepting new patients
Craig Seicshnaydre, Apmc CurrentSince Nov 20, 2003 Accepting new patients
Integrated Medical Services Cov LLC CurrentSince Jan 6, 2014 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Nov 1, 2005 Accepting new patients
Integrated Medical Services Ham, LLC CurrentSince Jan 6, 2014 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Jul 29, 2023 Accepting new patients
Premier After Hours Past Accepting new patients
Keith Van Meter & Associates Past Accepting new patients
All American Nola, LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
South Louisiana ENT, Facial Plastic & Hair Restoration, Apmc Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

13130 Highway 1085
Covington, LA 70433
Phone (985) 261-0261

13130 Highway 1085
Ste 100
Covington, LA 70433
Phone (985) 377-9877

7015 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 234-3000

7015 Highway 190 East Service Rd
Ste 201
Covington, LA 70433
Phone (985) 809-1997

716 W 21st Ave
Covington, LA 70433

303 W Minnesota Park Rd
Ste C
Hammond, LA 70403
Phone (985) 350-6110

925 Highway 59
Ste 400
Mandeville, LA 70448
Phone (985) 200-3307

100 N Labarre Rd
Ste C
Metairie, LA 70001
Phone (504) 827-1717

101 W Robert E Lee Blvd
Ste 301
New Orleans, LA 70124
Phone (504) 288-3888

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1275507873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 S. TYLER STREET",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332330",
            "telephone_number": "985-898-4194",
            "fax_number": "985-898-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S. TYLER STREET",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332330",
            "telephone_number": "985-898-4194",
            "fax_number": "985-898-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEICSHNAYDRE",
        "first_name": "CRAIG",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "022764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497886",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.