Provider Demographics
NPI:1255379285
Name:SEAVER, WENDY L (MD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:L
Last Name:SEAVER
Suffix:
Gender:F
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:PO BOX 52404
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-2404
Mailing Address - Country:US
Mailing Address - Phone:256-429-5071
Mailing Address - Fax:256-429-4674
Practice Address - Street 1:1 HOSPITAL DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6455
Practice Address - Country:US
Practice Address - Phone:256-880-4187
Practice Address - Fax:256-880-4797
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.25430207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00121591OtherRAILROAD MEDICARE
AL515-30882OtherBLUE CROSS PHYSICIAN BASD
AL051554147Medicaid
AL515-17676OtherBLUE CROSS HOSPITAL BASED
H93510Medicare UPIN
AL515-30882OtherBLUE CROSS PHYSICIAN BASD