NPIViewer - Provider NPI 1972539245

NPI:	1972539245
Name:	FRANKLIN & SEIDELMANN INC
Entity type:	Organization
Organization Name:	FRANKLIN & SEIDELMANN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:	OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:	KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:	KONDAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	954-838-2371
Mailing Address - Street 1:	3700 PARK EAST DRIVE
Mailing Address - Street 2:	SUITE 300
Mailing Address - City:	BEACHWOOD
Mailing Address - State:	OH
Mailing Address - Zip Code:	44122-4399
Mailing Address - Country:	US
Mailing Address - Phone:	855-292-1401
Mailing Address - Fax:	866-396-8340
Practice Address - Street 1:	7700 W SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:	PLANTATION
Practice Address - State:	FL
Practice Address - Zip Code:	33322-4113
Practice Address - Country:	US
Practice Address - Phone:	469-401-2386
Practice Address - Fax:
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2006-06-25
Last Update Date:	2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:

Primary?	Code	Type	Classification	Specialization	Group
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology	Group - Single Specialty

State	Identifier ID	ID Type
OK	200250210A	Medicaid
OR	500606506	Medicaid
KY	7100055700	Medicaid
MD	4136730 00	Medicaid
TN	4401052	Medicaid
AZ	733768	Medicaid
PA	1007526610003	Medicaid
WA	7128754	Medicaid
TX	2058141 01	Medicaid
MD	4136730 01	Medicaid
ID	806445800	Medicaid
MI	1972539245	Medicaid
IN	200925070A	Medicaid
OH	2323542	Medicaid
ME	434095200	Medicaid
WA	G8854156	Medicare PIN
DC	171230 ZFQ8	Medicare PIN
SC	8270	Medicare PIN
TX	0A3226	Medicare PIN
ID	806445800	Medicaid
NC	2335835	Medicare PIN
KS	M910000	Medicare PIN
LA	5BD02	Medicare PIN
LA	5DL77	Medicare PIN
HI	103233	Medicare PIN
ME	M2111102	Medicare PIN
PA	108501	Medicare PIN
MI	0N91550	Medicare PIN
MD	4136730 01	Medicaid
AZ	733768	Medicaid
OR	500606506	Medicaid
KY	7100055700	Medicaid
OH	2323542	Medicaid
IN	200925070A	Medicaid
KY	00563	Medicare PIN
NY	W38981	Medicare PIN
AZ	Z135609	Medicare PIN
NY	J100044747	Medicare PIN
ME	434095200	Medicaid
OK	200250210A	Medicaid
MI	1972539245	Medicaid
PA	1007526610003	Medicaid
MS	512G700146	Medicare PIN
DC	G02775	Medicare PIN
NJ	113167	Medicare PIN
FL	K4672E	Medicare PIN
PA	1007526610003	Medicaid
DC	G02775	Medicare PIN
MA	M2111101	Medicare PIN