Organization Active NPI

Craig Seicshnaydre, Apmc

  • Nephrology Physician
  • Mandeville, LA
National Provider Identifier
1548279078
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-022764 Issued in LA
Legal business name
CRAIG SEICSHNAYDRE, APMC
Practice address
7014 Meadow Brook Drive
Mandeville, LA 70471-7014
Phone
(985) 542-2653
Fax
(985) 662-0720
NPI assigned
Aug 5, 2006
Last updated
Dec 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Dr. Craig A Seicshnaydre, M.D.NPI 1275507873
Title
MD/Executive
Phone
(985) 727-1855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-022764 LA Primary

Addresses

Primary practice location

7014 Meadow Brook Drive
Mandeville, LA 70471-7014

Mailing address

PO Box 0669
Mandeville, LA 70470-0669
Phone (985) 542-2653

Other identifiers 1

IdentifierTypeStateIssuer
1497886MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060831000393 LA Part B Supplier - Clinic/Group Practice 1355345513 Receives reassigned benefits from 1 practitioner
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1548279078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 0669",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700669",
            "telephone_number": "985-542-2653",
            "fax_number": "985-662-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7014 MEADOW BROOK DRIVE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717014",
            "telephone_number": "985-542-2653",
            "fax_number": "985-662-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG SEICSHNAYDRE, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "SEICSHNAYDRE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/EXECUTIVE",
        "authorized_official_telephone_number": "985-727-1855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD-022764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497886",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.