Active NPI
Clifford A Seyler, M.D.
- Pediatrics Physician
- Tullahoma, TN
National Provider Identifier
1992809495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD20910
- Practice address
- 1330 Cedar LN Ste 900 BLDG B
Tullahoma, TN 37388-2286 - Phone
- (931) 455-2674
- Fax
- (931) 455-8983
- NPI assigned
- Sep 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD20910 | TN | Primary |
Addresses
Primary practice location
1330 Cedar LN Ste 900 BLDG B
Tullahoma, TN 37388-2286
Mailing address
PO Box 1327
Tullahoma, TN 37388-1327
Phone (931) 455-2674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3898189 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20910 | TN | MD | Pediatrics Physician |
Interoperability endpoints
- clifford.seyler@tul.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1992809495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1327",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373881327",
"telephone_number": "931-455-2674",
"fax_number": "931-455-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 CEDAR LN STE 900 BLDG B",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373882286",
"telephone_number": "931-455-2674",
"fax_number": "931-455-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYLER",
"first_name": "CLIFFORD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD20910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3898189",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.