Active NPI
Seymour Family Medicine
- Family Medicine Physician
- Altoona, PA
National Provider Identifier
1558490086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD418861
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019504360002 | Medicaid | PA | |
| 001630558 | Other | PA | HIGHMARK BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Legal Medicine
- Altoona, PA
- NPI 1821095084
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.