John Wade Seedor MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD027831E Issued in PA

Legal business name

JOHN WADE SEEDOR MD PC

Practice address

204 E Chester PK
Suite 4
Ridley Park, PA 19078-1709

Phone

(610) 521-4677

Fax

(610) 521-0951

NPI assigned

May 26, 2006

Last updated

Feb 4, 2015By 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

John W Seedor, MDNPI 1760477756

Title

Owner

Phone

(610) 521-4677

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Wade Seedor, MD

  • Specialist
  • Ridley Park, PA
  • NPI 1760477756
  Authorized official Same address or phone

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1548216708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHESTER PK.",
            "address_2": "SUITE 4",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781709",
            "telephone_number": "610-521-4677",
            "fax_number": "610-521-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHESTER PK",
            "address_2": "SUITE 4",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190781709",
            "telephone_number": "610-521-4677",
            "fax_number": "610-521-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WADE SEEDOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "SEEDOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-521-4677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD027831E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "195833",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00294792",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0055283000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "55442",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1031213",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Craig Holms, D.O.
• Suzanna Isabelle Hutchinson, MD
• Joanne Marie Ilustre, DO
• Internists Associates
• John R Callahan DDS Assoc
• Lawrence Jones, MS, ATC
• David Raymond Kalodner, D.O.
• Maksymilian A Kawalec, M.D.
• Kathleen Marie Kerns, M.A. CCC-SLP
• Tamika King, MD

• Specialist in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.