| Dr Jared Ray Seaman, MD | |
| 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
| (210) 906-3157 | |
| Not Available | 
| Full Name | Dr Jared Ray Seaman | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750846747 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 32809 (Nebraska) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | MD61557714 (Washington) | Primary | 
| Entity Name | Tra-minw P S | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20220816003734 | 
| Entity Name | Union Avenue Open Mri Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20220927002944 | 
| Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20220928000516 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jared Ray Seaman, MD 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: () - | Dr Jared Ray Seaman, MD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (210) 906-3157 | 
| Andrew Mcgrain, MD Radiology Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
| Dr. Mustafa Mohamed Alikhan, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0029 |