DR. LARRY SEIDMAN (NPI# 1821041039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821041039 |
| Entity Type | Individual |
| Full Name | DR. LARRY SEIDMAN |
| Credential | D.O. |
| Practice Address |
9501 Roosevelt Blvd Suite 404 Philadelphia PA 19114-1025 |
| Practice Telephone | 2156768111 |
| Practice Fax Number | 2156738210 |
| Mailing Telephone | 2156768111 |
| Mailing Fax Number | 2156738210 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
OS003155L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730394164 | Larry J. Seidman | Dentist | 12400 Academy Rd, Philadelphia, PA 19154-1929 | 2007-05-11 |
| 1508124538 | Larry Neal Seidman | Counselor | 1030 Kings Hwy N, Suite 325, Cherry Hill, NJ 08034-1907 | 2012-04-27 |
| Street Address |
9501 ROOSEVELT BLVD SUITE 404 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405936 | Anthony Brandimarto | Internal Medicine | 9501 Roosevelt Blvd, Ste 501, Philadelphia, PA 19114-1030 | 2005-05-24 |
| 1508403569 | Galyna Vorokhib | Nurse Practitioner | 9501 Roosevelt Blvd, Philadelphia, PA 19114-1025 | 2019-12-09 |
| 1003301920 | Johanna Marie Farinella | Nurse Practitioner | 9501 Roosevelt Blvd, Philadelphia, PA 19114-1025 | 2018-06-22 |
| 1487190096 | Allen Shapiro | Dentist | 9501 Roosevelt Blvd, Ste 409, Philadelphia, PA 19114-1025 | 2017-01-07 |
| 1124560081 | Aria Health Physician Services | Internal Medicine | 9501 Roosevelt Blvd, Suite 400, Philadelphia, PA 19114-1025 | 2016-11-09 |
| 1285187260 | Marianna Diloyan | Registered Nurse | 9501 Roosevelt Blvd, Suite 206, Philadelphia, PA 19114-1025 | 2016-07-26 |
| 1487009312 | Dr. Allen P. Shapiro Dds.ltd | Clinic/Center | 9501 Roosevelt Blvd, Suite 409, Philadelphia, PA 19114-1025 | 2016-04-28 |
| 1568880334 | Barry B Abraham Md LLC | Dermatology | 9501 Roosevelt Blvd, Suite 506, Philadelphia, PA 19114-1030 | 2014-03-31 |
| 1023388196 | Oasis Oral Surgery LLC | Dentist | 9501 Roosevelt Blvd, Suite 101, Philadelphia, PA 19114-1025 | 2012-01-06 |
| 1891928214 | Brian Shapiro | Dentist | 9501 Roosevelt Blvd, Suite 409, Philadelphia, PA 19114-1025 | 2009-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669683256 | Advanced Women's Care PC | Obstetrics & Gynecology | 10752 Bustleton Ave Unit C, Philadelphia, PA 19116-3367 | 2007-05-24 |
| 1700928611 | Planned Parenthood Southeastern Pennsylvania | Obstetrics & Gynecology | 1211 Chestnut St, Suite 405, Philadelphia, PA 19107-4103 | 2007-02-14 |
| 1023176484 | Marjorie Angert | Obstetrics & Gynecology | 1101 Market St, 9th Floor, Philadelphia, PA 19107-2934 | 2006-12-05 |
| 1104900125 | Dorothy Czarnecki | Obstetrics & Gynecology | 9412 Academy Road, Philadelphia, PA 19114 | 2006-10-25 |
| 1487661070 | Sharan Abdul-rahman | Obstetrics & Gynecology | 322 E Montana St, Philadelphia, PA 19119-2009 | 2006-08-03 |
| 1184643355 | Women's Health, Inc. | Obstetrics & Gynecology | 3336 Aldine St, Philadelphia, PA 19136-3802 | 2006-07-19 |
| 1437177235 | Emerita Torres Gueson | Obstetrics & Gynecology | 3336 Aldine Street, Philadelphia, PA 19136-3802 | 2006-07-18 |
| 1093745549 | Sung Kyu Henry Oh | Obstetrics & Gynecology | 1820 S Broad St, Philadelphia, PA 19145-2303 | 2006-07-03 |
| 1942276050 | Patricia Hughes Jones | Obstetrics & Gynecology | 5235 Walnut St, Philadelphia, PA 19139-4027 | 2006-02-28 |
| 1326040767 | Dinah Gonzalez-braile | Obstetrics & Gynecology | 12265 Townsend Road, Philadelphia, PA 19154-1214 | 2005-08-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
Please comment or provide details below to improve the information on DR. LARRY SEIDMAN.
| 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.