Provider Demographics
NPI:1649221532
Name:SEAMAN, DAVID EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:EDWARD
Last Name:SEAMAN
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 1:3910 CAUGHEY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-4041
Mailing Address - Country:US
Mailing Address - Phone:814-877-8895
Mailing Address - Fax:814-877-8871
Practice Address - Street 1:3910 CAUGHEY RD STE 170
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4041
Practice Address - Country:US
Practice Address - Phone:814-877-8895
Practice Address - Fax:814-877-8871
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044518L207RR0500X
WV27946207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014210610005Medicaid
PA746189Medicare ID - Type Unspecified
F57558Medicare UPIN