Kent Seitz, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

2009-00067 Issued in NC

Practice address

1421 Orchard Lake Drive
Suite C
Charlotte, NC 28270

Phone

(704) 844-0181

Fax

(904) 701-6279

NPI assigned

Aug 2, 2006

Last updated

Feb 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Family PracticeAlso: Addiction Medicine

Education

University of Louisville School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kent Seitz MD PA

  • General Practice Physician
  • Charlotte, NC
  • NPI 1013210517
  Medicare reassignment Authorized official
• Kendall Open MRI, LLC

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1023028198
  NPD
• Advene Health Group, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
  • NPI 1073931119

  Adolescent Medicine

  NPD (past)
• Seitz Diagnostic Group LLC

  • Dietary Manager
  • Boynton Beach, FL
  • NPI 1649321738
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1467469320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 ORCHARD LAKE DRIVE",
            "address_2": "SUITE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28270",
            "telephone_number": "704-844-0181",
            "fax_number": "904-701-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 ORCHARD LAKE DRIVE",
            "address_2": "SUITE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28270",
            "telephone_number": "704-844-0181",
            "fax_number": "904-701-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZ",
        "first_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME0051124",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NC",
            "license": "2009-00067",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2009-00067",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266406200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914829",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Lee Seitchik, MD
• Amy Jill Seitlin, LCMHCA, ATR-P
• Eric A Seitlin, DDS
• Lawrence S Seitlin, DDS
• Seitlin, Niedan, & Seitlin, PLLC
• Laura A Seitz, LCSW, LCAS
• Selah Tree Counseling, PLLC
• Selden Mvula and Cooke PLLC
• John Stephen Selden, D.D.S.
• Select Care of NC, LLC

• Addiction Medicine (Family Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Addiction Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.