Individual provider Active NPI

Craig S Seidman, M.D.

  • Vascular Surgery Physician
  • Springfield, OR
National Provider Identifier
1811926223
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD23916 Issued in OR
Practice address
1 Hayden Bridge Way Ste B
Springfield, OR 97477-1347
Phone
(541) 868-9880
NPI assigned
Jun 30, 2006
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD23916 OR
Vascular Surgery Physician 2086S0129X MD23916 OR Primary

Addresses

Primary practice location

1 Hayden Bridge Way Ste B
Springfield, OR 97477-1347

Mailing address

1 Hayden Bridge Way Ste B
Springfield, OR 97477-1347
Phone (541) 868-9880

Other practice location 1

1200 Gateway Loop
1200
Springfield, OR 97477-9747
Phone (503) 683-7730

Other practice location 2

3355 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Phone (541) 868-9303

Other identifiers 1

IdentifierTypeStateIssuer
286381MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000215 OR Practitioner - Vascular SurgeryPractitioner - General Surgery 8921004573 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Vascular Specialists LLCGroup PAC ID 0345695185, 2 clinicians
Advanced Vascular Centers Eugene LLCGroup PAC ID 6901298892, 6 clinicians

Practice addresses (Care Compare)

1 Hayden Bridge Way
Suite B
Springfield, OR 97477-1347
Phone (541) 868-9880

1200 Gateway Loop
Springfield, OR 97477-1176
Phone (503) 683-7730

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Hernia repair - groin (open)1-10
Varicose vein removal35
Leg revascularization (restoring blood flow)47
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vascular Centers Eugene LLC Vascular Surgery CurrentSince Feb 28, 2022 Accepting new patients
Peacehealth Medical Group Surgery CurrentSince Oct 1, 2024 Accepting new patients
Northwest Vascular Specialists, LLC Vascular Surgery CurrentSince Jul 30, 2023 Accepting new patients
Peacehealth Surgery CurrentSince Nov 18, 2022 Accepting new patients
Peacehealth Past Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

1 Hayden Bridge Way
#B
Springfield, OR 97477
Phone (541) 683-9858

1200 Gateway Loop
Springfield, OR 97477
Phone (503) 683-7730

3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336

3355 Riverbend Dr
Ste 300
Springfield, OR 97477
Phone (541) 222-8333

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1811926223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAYDEN BRIDGE WAY STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771347",
            "telephone_number": "541-868-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAYDEN BRIDGE WAY STE B",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771347",
            "telephone_number": "541-868-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Gateway Loop",
            "address_2": "1200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974779747",
            "country_code": "US",
            "telephone_number": "503-683-7730",
            "fax_number": "541-204-1997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 Riverbend Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-868-9303",
            "fax_number": "541-868-9306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIDMAN",
        "first_name": "CRAIG",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD23916",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD23916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286381",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.