Provider Demographics
NPI:1134239403
Name:SEAMANS, SCOTT CRAIG (DPM)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:CRAIG
Last Name:SEAMANS
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 1:8121 HEACOCK LANE
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1818
Mailing Address - Country:US
Mailing Address - Phone:215-884-1692
Mailing Address - Fax:
Practice Address - Street 1:8121 HEACOCK LANE
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1818
Practice Address - Country:US
Practice Address - Phone:215-884-1692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003060L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T29998Medicare UPIN
183800Medicare ID - Type Unspecified