Active NPI
Edward A. Seidel, MD
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D38956
- Practice address
- 5601 Loch Raven Blvd
Baltimore, MD 21239-2905 - Phone
- (410) 532-4040
- Fax
- (410) 532-5957
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D38956 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2905
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 765210000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, TX, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone (410) 694-7999
15646 Old Columbia Pike
Burtonsville, MD 20866-1630
Phone (301) 421-1214
6250 Old Dolbbin Lane
Columbia, MD 21045-5816
Phone (410) 730-3399
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D38956 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Hospitalist Associates, LLC | Current | Accepting new patients | |
| Centennial Medical Group, PA | Emergency Medicine | Current | Accepting new patients |
| Centennial Medical Group, PA | Current | Accepting new patients | |
| Victoria Emergency Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Seminole Hospital District of Gaines County Texas | Current | Accepting new patients | |
| Centennial Medical Group, PA | Current | Accepting new patients | |
| Ess of Nacogdoches LLC | Emergency Medicine | Current | Accepting new patients |
| Seminole Hospital District of Gaines County Texas | Emergency Medicine | Current | Accepting new patients |
| First Call Medical Center LLC | Current | Accepting new patients | |
| Ess of Port Lavaca LLC | Emergency Medicine | Current | Accepting new patients |
| First Call Medical Center LLC | Current | Accepting new patients | |
| First Call Medical Center LLC | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Past | Accepting new patients |
Locations
15646 Old Columbia Pike
Burtonsville, MD 20866
Phone (301) 421-1214
6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111
6250 Old Dobbin Ln
Columbia, MD 21045
10120 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 694-7999
10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999
2008 Nine Rd
Brady, TX 76825
Phone (325) 597-2901
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
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.
-
- Family Medicine Physician
- Columbia, MD
- NPI 1134235039
Emergency Medicine
-
dba First Call Urgent Care
- Urgent Care Clinic/Center
- Laurel, MD
- NPI 1841680766
-
- Emergency Medicine Physician
- Nacogdoches, TX
- NPI 1780139956
-
- Emergency Medicine Physician
- Port Lavaca, TX
- NPI 1922546936
-
dba Memorial Hospital
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
Emergency Medicine
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
-
- Family Medicine Physician
- Clarksville, MD
- NPI 1336918275
-
- Physical Therapy Clinic/Center
- Elkridge, MD
- NPI 1477338325
-
- Urgent Care Clinic/Center
- Columbia, MD
- NPI 1962269845
-
dba Seminole Community Pharmacy
- Community/Retail Pharmacy
- Seminole, TX
- NPI 1427618461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1477582021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "410-532-4040",
"fax_number": "410-532-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDEL",
"first_name": "EDWARD",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D38956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "765210000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.