Provider Demographics
NPI:1366448219
Name:SEIDELMANN, FRANK E (DO)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:E
Last Name:SEIDELMANN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 PARK EAST DR
Mailing Address - Street 2:SUITE #300
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4305
Mailing Address - Country:US
Mailing Address - Phone:855-292-1401
Mailing Address - Fax:866-396-8340
Practice Address - Street 1:5 SURFSONG RD
Practice Address - Street 2:
Practice Address - City:KIAWAH ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-5706
Practice Address - Country:US
Practice Address - Phone:855-292-1401
Practice Address - Fax:866-396-8340
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH340021272085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0376516Medicaid
SD7713180Medicaid
SCP00971827OtherRXR MCR
SCQ02128Medicaid
MD015977800Medicaid
AKMD173OHMedicaid
OH341958451006OtherMEDICAL MUTUAL
AZ73385902Medicaid
PA0008518540008Medicaid
WV012168600Medicaid
WY118242100Medicaid
OH300134161OtherRXR MEDICARE
OH000000225951OtherBCBS
PA000851854002Medicaid
CA3413935Medicaid
NH20002048Medicaid
ID806445600Medicaid
OHP00060676OtherRR MEDICARE
OH300134161OtherRXR MEDICARE
CA3413935Medicaid
NH20002048Medicaid
PA000851854002Medicaid
SCQ02128Medicaid
CAEY705ZMedicare PIN
PA189965PK7Medicare PIN
OHSE4212071Medicare PIN
OH341958451006OtherMEDICAL MUTUAL
MD015977800Medicaid
OHSE4012514Medicare PIN