Provider Demographics
NPI:1053377291
Name:SEEGER, JANELL (MD)
Entity type:Individual
Prefix:DR
First Name:JANELL
Middle Name:
Last Name:SEEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1703
Mailing Address - Country:US
Mailing Address - Phone:502-629-2500
Mailing Address - Fax:502-629-3166
Practice Address - Street 1:4950 NORTON HEALTHCARE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2845
Practice Address - Country:US
Practice Address - Phone:502-394-6350
Practice Address - Fax:502-394-6363
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20461207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY110092515OtherRAILROAD MEDICARE
KY64204613Medicaid
KY000000044814OtherANTHEM
IN200042660Medicaid
KY110092515OtherRAILROAD MEDICARE
IN200042660Medicaid
KY64204613Medicaid
IN129980BMedicare PIN