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NPI Code Detail

MEDICARE: DR. ROY E SEITZ MD

MEDICARE: DR. ROY E SEITZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician35-04-4604-SOH

General Provider Information

NPI Number : 1255333670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROY E SEITZ MD
Provider Business Mailing Address
First Line : 5373 E LAKE RD
Second Line :
City : SHEFFIELD LAKE
State : OH
Zip : 44054-1822
Country : US
Telephone Number : 440-949-7125
Fax Number :
Provider Business Practice Location Address
First Line : 29000 CENTER RIDGE RD
Second Line : ST JOHN MEDICAL CENTER
City : WESTLAKE
State : OH
Zip : 44145-5293
Country : US
Telephone Number : 440-835-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 11/03/2011

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