Active NPI
Paola M Seidel M D PLLC
- Physical Medicine & Rehabilitation Physician
- Berkley, MI
National Provider Identifier
1912401001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4301058096
- Legal business name
- PAOLA M SEIDEL M D PLLC
- Practice address
- 2615 W 12 Mile Rd
Berkley, MI 48072-1627 - Phone
- (248) 850-7068
- Fax
- (248) 850-7112
- NPI assigned
- Mar 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paola M Seidel, MD
- Title
- Provider
- Phone
- (248) 850-7068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301058096 | MI | Primary |
Addresses
Primary practice location
2615 W 12 Mile Rd
Berkley, MI 48072-1627
Mailing address
2615 W 12 Mile Rd
Berkley, MI 48072-1627
Phone (248) 850-7068
National Provider Directory
National Provider DirectoryLocations
2615 W 12 Mile Rd
Berkley, MI 48072
Phone (248) 397-4705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1912401001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 W 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721627",
"telephone_number": "248-850-7068",
"fax_number": "248-850-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 W 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721627",
"telephone_number": "248-850-7068",
"fax_number": "248-850-7112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAOLA M SEIDEL M D PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-22",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "SEIDEL",
"authorized_official_first_name": "PAOLA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "248-850-7068",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301058096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.