Healthcare Provider Details

I. General information

NPI: 1629211982
Provider Name (Legal Business Name): DAVID JAMES SEASTONE PH.D., D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2009
Last Update Date: 07/23/2026
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W 12TH ST
ERIE PA
16505-4500
US

IV. Provider business mailing address

5096 RIDGEDALE DR
ERIE PA
16506-6114
US

V. Phone/Fax

Practice location:
  • Phone: 814-836-2600
  • Fax:
Mailing address:
  • Phone: 814-833-5454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number34.010019
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberOS016804
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: