Provider Demographics
NPI:1477546109
Name:SEIPLE, JAMES R (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:SEIPLE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20220 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3501
Mailing Address - Country:US
Mailing Address - Phone:440-333-7722
Mailing Address - Fax:
Practice Address - Street 1:20220 CENTER RIDGE RD
Practice Address - Street 2:SUITE 230
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3501
Practice Address - Country:US
Practice Address - Phone:440-333-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-29
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36001771S213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0322136Medicaid
OH0322136Medicaid
OHT80420Medicare UPIN