Seton Medical Managment- the Cancer Center at Providence Park

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

1-129322 Issued in AL

Legal business name

SETON MEDICAL MANAGMENT- THE CANCER CENTER AT PROVIDENCE PARK

Practice address

6701 Airport Blvd BLDG BT-101
Mobile, AL 36608-6705

Phone

(251) 633-1890

Fax

(251) 633-1182

NPI assigned

Jul 8, 2016

Last updated

Jul 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marjorie Leah Seltzer, CRNP

Title

Patient Navigator

Phone

(251) 633-1884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1285086736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD BLDG BT-101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-633-1890",
            "fax_number": "251-633-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD BLDG BT-101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-633-1890",
            "fax_number": "251-633-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETON MEDICAL MANAGMENT- THE CANCER CENTER AT PROVIDENCE PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "SELTZER",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "PATIENT NAVIGATOR",
        "authorized_official_telephone_number": "251-633-1884",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "AL",
            "license": "1-129322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seton Medical Management Inc. (Providence Surgical Specialists)
• Seton Medical Management Inc. (Oncology Center at Providence Park)
• Seton Medical Management Inc. (Ascension Rx 1400)
• Seton Medical Management Inc.
• Seton Medical Management Inc. (Providence Surgical Services)
• Seton Medical Mandagement (Providence Neurology Services)
• Heather Pope Setterstrom, CRNP
• Roger M. Setzler, MD
• Severin Grenoble MD PC
• Miriam Maite Sevilla Saez-Benito, M.D.

• Radiation Oncology Clinic/Center in Mobile, AL
• Providers in Mobile, AL by specialty
• Radiation Oncology Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.