Basic Information
| Provider Information | |||||||||
| NPI: | 1467614578 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEAMON | ||||||||
| FirstName: | ALEX | ||||||||
| MiddleName: | REINEMER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2369 STAPLES MILL RD 200 | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232302918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042858206 | ||||||||
| FaxNumber: | 8044975469 | ||||||||
| Practice Location | |||||||||
| Address1: | 8266 ATLEE RD | ||||||||
| Address2: | SUITE 133 | ||||||||
| City: | MECHANICSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 231161804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8042858206 | ||||||||
| FaxNumber: | 8047467699 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2008 | ||||||||
| LastUpdateDate: | 06/20/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 0101258607 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 004091700 | 05 | FL | MEDICAID |