MEDICARE: CRAIG SEAMANDS M.D.

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
1	2084P0805X	Geriatric Psychiatry Physician	2024011008	MO

General Provider Information

NPI Number	:	1629128624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG SEAMANDS M.D.

Provider Business Mailing Address
First Line	:	360 OAKLAND AVE
Second Line	:
City	:	COUNCIL BLUFFS
State	:	IA
Zip	:	51503-3042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N OAKLAND AVE
Second Line	:
City	:	BOLIVAR
State	:	MO
Zip	:	65613-3099
Country	:	US
Telephone Number	:	417-326-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	01/19/2026

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