Joel C. Seidman, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

4301033985 Issued in MI

Practice address

4549 River TRL
Bloomfield Hills, MI 48301-3642

Phone

(248) 855-4292

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1669433678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 RIVER TRL",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013642",
            "telephone_number": "248-855-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 RIVER TRL",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013642",
            "telephone_number": "248-855-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "JOEL",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301033985",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301033985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "290F312340",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317591",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Scouten, PMHNP
• Noor Alexsandra Seba
• Joanne Susan Sedor, RN, MSN, CNS
• Phyllis Band Seel, PHD
• Abby B Segal, MSW
• S Raja Sekharan, M.D.
• Nikko Selene
• Linda D Seltzer-Sucher, PH.D.
• Gina Semaan
• Sabreen Narmi Semaan

• Pulmonary Disease Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.