Active NPI
Walter R Seidel, MD
- Family Medicine Physician
- Ruidoso, NM
National Provider Identifier
1871579979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 94-351
- Practice address
- 159 Mescalero TRL
Ruidoso, NM 88345-6089 - Phone
- (575) 257-3681
- Fax
- (575) 257-4036
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-351 | NM | Primary |
Addresses
Primary practice location
159 Mescalero TRL
Ruidoso, NM 88345-6089
Mailing address
159 Mescalero TRL
Ruidoso, NM 88345-6089
Phone (575) 257-3681
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-351 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Roswell Clinic Corp | Family Medicine | Past | Accepting new patients |
| Roswell Hospital Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
-
- Rural Health Clinic/Center
- Dexter, NM
- NPI 1225161474
-
- Family Medicine Physician
- Roswell, NM
- NPI 1427001759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1871579979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 MESCALERO TRL",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456089",
"telephone_number": "575-257-3681",
"fax_number": "575-257-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 MESCALERO TRL",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456089",
"telephone_number": "575-257-3681",
"fax_number": "575-257-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDEL",
"first_name": "WALTER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "94-351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.