Provider Demographics
NPI:1700895059
Name:SEAMAN, LINDA D (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:WREDE-SEAMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 8255
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-0255
Mailing Address - Country:US
Mailing Address - Phone:509-965-9266
Mailing Address - Fax:509-965-5447
Practice Address - Street 1:206 S 11TH AVE STE 48
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3205
Practice Address - Country:US
Practice Address - Phone:509-575-5058
Practice Address - Fax:509-575-5196
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026836207P00000X, 207Q00000X, 207QH0002X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A51042Medicare UPIN