Organization Active NPI

Seymour Family Medicine

  • Family Medicine Physician
  • Altoona, PA
National Provider Identifier
1558490086
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD418861 Issued in PA
Legal business name
SEYMOUR FAMILY MEDICINE
Practice address
2529 Broad Ave
Altoona, PA 16601-1912
Phone
(814) 944-3569
Fax
(814) 944-8201
NPI assigned
Mar 2, 2007
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Elizabeth M Seymour, M.D.NPI 1821095084
Title
Medical Doctor
Phone
(814) 944-3569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD418861 PA Primary

Addresses

Primary practice location

2529 Broad Ave
Altoona, PA 16601-1912

Mailing address

2529 Broad Ave
Altoona, PA 16601-1912
Phone (814) 944-3569

Other identifiers 2

IdentifierTypeStateIssuer
0019504360002MedicaidPA
001630558OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1558490086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 BROAD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011912",
            "telephone_number": "814-944-3569",
            "fax_number": "814-944-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 BROAD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011912",
            "telephone_number": "814-944-3569",
            "fax_number": "814-944-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "814-944-3569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD418861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019504360002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001630558",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.