NPIMap

Individual provider Active NPI

Elizabeth Marya Seymour, M.D.

  • Legal Medicine
  • Altoona, PA
National Provider Identifier
1821095084
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MD418861 Issued in PA
Practice address
2529 Broad Ave
Altoona, PA 16601-1912
Phone
(814) 944-3569
Fax
(814) 944-8201
NPI assigned
Jul 3, 2005
Reactivated
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 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 3

IdentifierTypeStateIssuer
0019504360002MedicaidPA
001630558OtherHIGHMARK
P00173700OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000264 PA Practitioner - Family Practice 4082679840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc AltoonaGroup PAC ID 8426962465, 126 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2866

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073
  • Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD418861PAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Jan 1, 2015 Accepting new patients
Upmc Altoona CurrentSince Jan 1, 2015 Accepting new patients
Upmc Altoona Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients

Locations

620 Howard Ave
Fl Fifth
Altoona, PA 16601
Phone (814) 889-2223

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

620 Howard Ave
#302
Altoona, PA 16601
Phone (814) 889-2011

Interoperability endpoints

  • Direct secure messaging: eseymour227396@upmc.direct-ci.com
  • Direct secure messaging: elizabeth.m.seymour@upmcdirect.com

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 and National Provider Directory roles.

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": "1120348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1821095084",
    "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": {
        "last_name": "SEYMOUR",
        "first_name": "ELIZABETH",
        "middle_name": "MARYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-03",
        "last_updated": "2013-03-18",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal 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",
            "identifier": "001630558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00173700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.