DR. IRA JOHN SEASHOLTZ (NPI# 1528180338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528180338 |
Entity Type | Individual |
Full Name | DR. IRA JOHN SEASHOLTZ |
Credential | D.O. |
Practice Address |
224 Nw Crane Ave Madison FL 32340-1400 |
Practice Telephone | 5809732271 |
Practice Fax Number | 8509732818 |
Mailing Telephone | 5809732271 |
Mailing Fax Number | 8509732818 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2015-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS3579 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | LICENSE | FLOS0003579 | 01 |
FL | 055322100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447414248 | Ira John Seasholtz II | Dentist | 2003 Miccosukee Rd, Tallahassee, FL 32308-5307 | 2008-07-11 |
Street Address |
224 NW CRANE AVE |
City | MADISON |
State | FL |
Zip Code | 32340-1400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104821461 | Madison County Hospital Health Systems, Inc. | General Acute Care Hospital | 224 Nw Crane Ave, Madison, FL 32340-1400 | 2005-06-14 |
1306369657 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 224 Nw Crane Ave, Madison, FL 32340-1400 | 2017-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
1194701862 | Mos LLC | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340 | 2005-12-15 |
1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
Find all providers in zip 32340 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
1083036735 | The Imaging Center Inc | Radiology | 209 Veranda Dr, Madison, AL 35758-3008 | 2014-01-15 |
1669812913 | Robert Mark Wertz | Radiology | 221 S Fair Oaks Ave, Madison, WI 53704-5860 | 2013-07-01 |
1003151671 | Diagnostic Health Mri of Gadsden, LLC | Radiology | 398 Hughes Rd, Madison, AL 35758-1102 | 2012-12-07 |
1598050825 | Jeffrey Robert Cagley | Radiology | 2837 Barlow St, Madison, WI 53705-3621 | 2011-06-15 |
Find all providers in MADISON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.