Provider Demographics
NPI:1932285012
Name:SEIFERT, TAD D (MD)
Entity Type:Individual
Prefix:DR
First Name:TAD
Middle Name:D
Last Name:SEIFERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 950202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0202
Mailing Address - Country:US
Mailing Address - Phone:502-969-6552
Mailing Address - Fax:502-969-3799
Practice Address - Street 1:4121 DUTCHMANS LN STE 503
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4730
Practice Address - Country:US
Practice Address - Phone:502-899-6782
Practice Address - Fax:502-899-6783
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY398802084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY104844OtherSIHO- NORTON NEUROLOGY SERVICES
KY200945080OtherANTHEM INDIANA MEDICAID- NORTON NEUROLOGY SERVICES
KY000000616417OtherANTHEM- NORTON NEUROLOGY SERVICES
KY7100080400Medicaid
KY3715318000OtherPASSPORT ADVANTAGE- NORTON NEUROLOGY SERVICES
KY4021564OtherCIGNA- NORTON NEUROLOGY SERVICES
IN200945080OtherMEDICAID- NORTON NEUROLOGY SERVICES
KY200945080OtherMANAGED HEALTH SERVICES- NORTON NEUROLOGY SERVICES
KY200945080OtherMD WISE- NORTON NEUROLOGY SERVICES
KYP00726832OtherRAILROAD MEDICARE- NORTON NEUROLOGY SERVICES
KY000023036MOtherHUMANA- NORTON NEUROLOGY SERVICES
KY50023957OtherPASSPORT- NORTON NEUROLOGY SERVICES
KY00533132OtherMEDICARE KY- NORTON NEUROLOGY SERVICES
KY200945080OtherHEALTHY INDIANA PLAN- NORTON NEUROLOGY SERVICES