Provider Demographics
NPI:1033161864
Name:SEITER, RAYMOND T (FNP)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:T
Last Name:SEITER
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROOSEVELT DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-1721
Mailing Address - Country:US
Mailing Address - Phone:512-417-8301
Mailing Address - Fax:
Practice Address - Street 1:55 HOSPTIAL DR
Practice Address - Street 2:O'BLENESS MEMORIAL HOSPITAL EMERGENCY DEPT
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2302
Practice Address - Country:US
Practice Address - Phone:740-592-9349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX530731363LF0000X
OH337213363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146594007Medicaid
TXP42483Medicare UPIN
TX8664B6Medicare ID - Type Unspecified
TX8G1143Medicare ID - Type Unspecified