Provider Demographics
NPI:1275535718
Name:SEEDS, WILLIAM ASA (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ASA
Last Name:SEEDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-4975
Mailing Address - Country:US
Mailing Address - Phone:440-997-5427
Mailing Address - Fax:440-997-5486
Practice Address - Street 1:416 W 27TH ST
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-4975
Practice Address - Country:US
Practice Address - Phone:440-997-5427
Practice Address - Fax:440-997-5486
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070566207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0284160Medicaid
OH0284160Medicaid