Provider Demographics
NPI:1861503872
Name:SEITZ, CURTIS (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:SEITZ
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 1:221 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-4214
Mailing Address - Country:US
Mailing Address - Phone:812-242-3170
Mailing Address - Fax:812-235-3330
Practice Address - Street 1:1429 N 6TH ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-1037
Practice Address - Country:US
Practice Address - Phone:812-242-3170
Practice Address - Fax:812-235-3330
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045035A207Y00000X
IL36094607207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00844248OtherRAILROAD MEDICARE
N280672OtherHARMONY HEALTH PLAN IND
66946OtherCIGNA
000000089631OtherANTHEM
IN200101760ZMedicaid
351904269155OtherCARESOURCE MEDICAID
5690280OtherAETNA
IL001045035OtherILLINOIS PUBLIC AID
I018449B006OtherUNISYS CHAMPUS SECONDARY
IN200101760Medicaid
IN200101760COtherMOLINA HEALTHCARE MCAID
296213OtherHEALTHLINK
L041353A009OtherUNISYS CHAMPUS SECONDARY
ILP01056440OtherRAILROAD MEDICARE
5690280OtherAETNA
IN200101760ZMedicaid
IN200101760Medicaid
INP00844248OtherRAILROAD MEDICARE
N280672OtherHARMONY HEALTH PLAN IND
296213OtherHEALTHLINK
000000089631OtherANTHEM
I018449B006OtherUNISYS CHAMPUS SECONDARY
IN859930BMedicare PIN
IN192770IIIMedicare PIN