Individual provider Active NPI

Edward A Seall, M.D.

  • Emergency Medicine Physician
  • Lafayette, IN
National Provider Identifier
1972522381
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01051337A Issued in IN
Practice address
114 Executive Dr
Suite E
Lafayette, IN 47905-4883
Phone
(765) 446-0170
Fax
(260) 407-8004
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01051337A IN Primary

Addresses

Primary practice location

114 Executive Dr
Suite E
Lafayette, IN 47905-4883

Mailing address

114 Executive Dr
Suite E
Lafayette, IN 47905-4883
Phone (765) 446-0170

Other identifiers 1

IdentifierTypeStateIssuer
200279810MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040517001487 IN Practitioner - Emergency Medicine 2769472075 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051337AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Emergency Care, P.C. Emergency Medicine CurrentSince Dec 16, 2003 Accepting new patients
Unity Healthcare LLC CurrentSince Jan 6, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Unity Healthcare, LLC Emergency Medicine CurrentSince Jan 6, 2023 Accepting new patients
Unity Healthcare, LLC Current Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince May 15, 2022 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Riverview Hospital CurrentSince Sep 1, 2023 Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Monticello Emergency Care, LLC Emergency Medicine CurrentSince Jun 1, 2005 Accepting new patients
Lafayette Emergency Care, LLC Emergency Medicine Past Accepting new patients

Locations

7231 Solutions Ctr
Chicago, IL 60677

7219 Solutions Ctr
Chicago, IL 60677

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

1321 Unity Pl
Ste B
Lafayette, IN 47905
Phone (317) 803-1010

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

9460 E 146th St
Noblesville, IN 46060
Phone (317) 583-3741

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

275 W 12th St
Peru, IN 46970
Phone (317) 472-8022

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1972522381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EXECUTIVE DR",
            "address_2": "SUITE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054883",
            "telephone_number": "765-446-0170",
            "fax_number": "260-407-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EXECUTIVE DR",
            "address_2": "SUITE E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054883",
            "telephone_number": "765-446-0170",
            "fax_number": "260-407-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALL",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01051337A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200279810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.