Active NPI
Erwin Bartholomeus Seywerd, M.D.
- Otolaryngology Physician
- Augusta, ME
National Provider Identifier
1811967227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 012487
- Practice address
- 79 Arsenal St
Augusta, ME 04330-5704 - Phone
- (207) 622-1445
- Fax
- (207) 622-4661
- NPI assigned
- Jan 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 012487 | ME | Primary |
Addresses
Primary practice location
79 Arsenal St
Augusta, ME 04330-5704
Mailing address
79 Arsenal St
Augusta, ME 04330-5704
Phone (207) 622-1445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123330000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180405001094 | ME | Order and Referring Only - Otolaryngology | 5597707208 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012487 | ME | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erwin B Seywerd, MD | Otolaryngology | Past | Accepting new patients |
| Mass Audiology, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1306077276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1811967227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 ARSENAL ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305704",
"telephone_number": "207-622-1445",
"fax_number": "207-622-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 ARSENAL ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305704",
"telephone_number": "207-622-1445",
"fax_number": "207-622-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYWERD",
"first_name": "ERWIN",
"middle_name": "BARTHOLOMEUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ME",
"license": "012487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123330000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.