Active NPI
John D Seidner, MD
- Emergency Medicine Physician
- Klamath Falls, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD191862
- Practice address
- 2865 Daggett Ave
Klamath Falls, OR 97601 - Phone
- (541) 274-6175
- Fax
- (541) 274-6739
- NPI assigned
- Jun 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11338 | NH | |
| Emergency Medicine Physician | 207P00000X | MD191862 | OR | Primary |
Addresses
Primary practice location
2865 Daggett Ave
Klamath Falls, OR 97601
Mailing address
2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6175
Other practice location 1
1 Elliot Way
Emergency Department
Manchester, NH 03103-3502
Phone (603) 663-2830
Other practice location 2
1 Elliot Way
Emergency Department
Manchester, NH 03103-3502
Phone (603) 663-2830
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30203571 | Medicaid | NH | |
| H09471 | Other | NH | HPHC |
| 01Y003173NH03 | Other | NH | ATHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11338 | MA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Emergency Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New Mexico - Clovis, LLC | Emergency Medicine | Current | Accepting new patients |
| Los Alamos Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Emergency Medicine | Current | Accepting new patients |
| Merrimack Emergency Physicians | Past | Accepting new patients |
Locations
4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
Interoperability endpoints
- jseidner268097@christushealth.direct-ci.net
- jseidner207071@direct.phs.org
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1477031094
-
- Emergency Medicine Physician
- Los Alamos, NM
- NPI 1679965883
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Emergency Medicine
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Emergency Medicine
-
- Emergency Care Clinic/Center
- Manchester, NH
- NPI 1881635837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1881637148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 DAGGETT AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011106",
"telephone_number": "541-274-6175",
"fax_number": "541-274-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 DAGGETT AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "97601",
"telephone_number": "541-274-6175",
"fax_number": "541-274-6739"
}
],
"practiceLocations": [
{
"address_1": "1 Elliot Way",
"address_2": "EMERGENCY DEPARTMENT",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031033502",
"country_code": "US",
"telephone_number": "603-663-2830",
"fax_number": "603-663-1849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Elliot Way",
"address_2": "EMERGENCY DEPARTMENT",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031033502",
"country_code": "US",
"telephone_number": "603-663-2830",
"fax_number": "603-663-1849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEIDNER",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "11338",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD191862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203571",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "H09471",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHEM BCBS",
"identifier": "01Y003173NH03",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.