Individual provider Active NPI

Scott J. Seidner, M.D.

  • Interventional Cardiology Physician
  • Fredericksburg, VA
National Provider Identifier
1861449290
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
101235130 Issued in VA
Practice address
9530 Cosner Dr
Suite 200
Fredericksburg, VA 22408-8709
Phone
(540) 373-1331
Fax
(540) 373-1331
NPI assigned
May 30, 2006
Last updated
Dec 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 101235130 VA Primary

Addresses

Primary practice location

9530 Cosner Dr
Suite 200
Fredericksburg, VA 22408-8709

Mailing address

9530 Cosner Dr
Suite 200
Fredericksburg, VA 22408-8709
Phone (540) 373-1331

Other identifiers 1

IdentifierTypeStateIssuer
010019150MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180403000425 KY Practitioner - Cardiovascular Disease (Cardiology) 6800789231 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101235130VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Mar 8, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 8, 2018 Accepting new patients

Locations

2 Trillium Way
Ste 210
Corbin, KY 40701
Phone (606) 523-3038

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1861449290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 COSNER DR",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088709",
            "telephone_number": "540-373-1331",
            "fax_number": "540-373-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 COSNER DR",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088709",
            "telephone_number": "540-373-1331",
            "fax_number": "540-373-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDNER",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "101235130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010019150",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.