Provider Demographics
NPI:1295705580
Name:SEIZYS, JEFFREY (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:SEIZYS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 ORIOLE TRL
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:IN
Mailing Address - Zip Code:46360-1528
Mailing Address - Country:US
Mailing Address - Phone:219-878-9227
Mailing Address - Fax:
Practice Address - Street 1:2218 ORIOLE TRL
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:IN
Practice Address - Zip Code:46360-1528
Practice Address - Country:US
Practice Address - Phone:219-878-9227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043925A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200045880Medicaid
IN200045880Medicaid
F42025Medicare UPIN