Active NPI
Michael V. Seiden, MD
- Medical Oncology Physician
- Shenandoah, TX
National Provider Identifier
1760464705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- P8997
- Practice address
- 9200 Pinecroft Dr Ste 450
Shenandoah, TX 77380-3280 - Phone
- (281) 296-0365
- Fax
- (281) 298-8907
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 71183 | MA | |
| Medical Oncology Physician | 207RX0202X | 71183 | MA | |
| Medical Oncology Physician | 207RX0202X | MD432386 | PA | |
| Medical Oncology Physician | 207RX0202X | P8997 | TX | Primary |
Addresses
Primary practice location
9200 Pinecroft Dr Ste 450
Shenandoah, TX 77380-3280
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3122026 | Medicaid | MA | |
| 333013601 | Medicaid | TX | |
| J09299 | Other | MA | BCBS MA |
| 071183 | Other | MA | TUFTS HEALTH PLAN |
| 0102213389001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71183 | MA | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1760464705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 PINECROFT DR STE 450",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803280",
"telephone_number": "281-296-0365",
"fax_number": "281-298-8907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDEN",
"first_name": "MICHAEL",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "71183",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "71183",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "PA",
"license": "MD432386",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "P8997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3122026",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "333013601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J09299",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "071183",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102213389001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.