Basic Information
| Provider Information | |||||||||
| NPI: | 1972539245 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FRANKLIN & SEIDELMANN INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3700 PARK EAST DRIVE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | BEACHWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441224399 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8552921401 | ||||||||
| FaxNumber: | 8663968340 | ||||||||
| Practice Location | |||||||||
| Address1: | 7700 W SUNRISE BLVD | ||||||||
| Address2: | |||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333224113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4694012386 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2006 | ||||||||
| LastUpdateDate: | 09/16/2019 | ||||||||
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| AuthorizedOfficialLastName: | KONDAS | ||||||||
| AuthorizedOfficialFirstName: | KATHLEEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 9548382371 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 200250210A | 05 | OK | MEDICAID | 500606506 | 05 | OR | MEDICAID | 7100055700 | 05 | KY | MEDICAID | 4136730 00 | 05 | MD | MEDICAID | 4401052 | 05 | TN | MEDICAID | 733768 | 05 | AZ | MEDICAID | 1007526610003 | 05 | PA | MEDICAID | 7128754 | 05 | WA | MEDICAID | 2058141 01 | 05 | TX | MEDICAID | 4136730 01 | 05 | MD | MEDICAID | 806445800 | 05 | ID | MEDICAID | 1972539245 | 05 | MI | MEDICAID | 200925070A | 05 | IN | MEDICAID | 2323542 | 05 | OH | MEDICAID | 434095200 | 05 | ME | MEDICAID |