An SEO practice built against the regulatory and entity-graph layer of medical YMYL.
Praxis runs SEO programs for U.S. physician practices. Multi-location physician-owned clinic groups, hospital-affiliated specialty groups, and high-margin specialty practices in dermatology, plastic surgery, fertility, orthopedics, cardiology, and oncology. The differentiator across every engagement is regulatory and entity-graph specificity. We name which HIPAA sections govern which marketing surface, how the Reviews System 2023+ medical-content framework reads first-party editorial content, and how the Physician.sameAs chain to NPPES, the state medical board, and ABMS verification consolidates the off-site authority signal.
What we do
Seven service surfaces. HIPAA-compliant medical marketing. Medical schema implementation. Medical directory SEO. Multi-location medical practice SEO. Medical local SEO. Medical website design. Healthcare marketing. Each one grounded in cited regulatory mechanism rather than marketing-fluff framing. Every customer-facing compliance claim cites the CFR section, the AMA Code Opinion number, the Reviews System framework dimension, or the Schema.org property name. Generalist SEO agencies treat the medical vertical as one vertical among twenty; Praxis runs against the regulatory layer as the practice.
Why the regulatory and entity-graph layer is load-bearing
Medical-practice marketing is one of the most regulatorily constrained surfaces in B2B SEO. 45 CFR 164.508 specifies what a marketing authorization must contain (information disclosed, recipient, purpose, expiration date, revocation rights). 45 CFR 164.501 carves out the "own products and services" exception, which holds as long as the practice is not being paid by a third party to send the communication. AMA Code of Medical Ethics Opinion E-9.6.1 governs advertising standards; Opinion 1.2.12 governs telehealth continuity of care. State medical boards layer additional rules per jurisdiction. None of this gets operationalized by an agency that treats medical as a category header rather than a regulatory regime.
Alongside the regulatory layer sits the entity-graph layer. MedicalBusiness over LocalBusiness for the facility. Physician per practitioner, with employee / member / worksFor / location chaining for multi-physician practices. Physician.sameAs chains to NPPES (NPI registry), the state medical board licensure profile, and the ABMS verification page. Physician.hospitalAffiliation adds the institutional layer for hospital-affiliated specialty groups. The reconciliation is the mechanism through which off-site directory authority transfers to the on-site author byline. "We add schema markup" is not this work.
How we engage
Most engagements run as monthly retainers shaped to where the work is needed. A multi-location group gets per-location GBP architecture with attending-physician ownership plus multi-physician schema reconciliation. A hospital-affiliated specialty group gets the hospitalAffiliation chain plus the editorial-content layer aligned to ABMS specialty for Reviews System evaluation. A high-margin specialty practice in dermatology or plastic surgery gets the before-and-after-imagery consent workflow scoped separately from text-testimonial consent. A practice on a generic LocalBusiness schema build typically gets a rebuild, because retrofitting the entity-graph layer on top of a build that fights it usually approaches the cost of starting over.
We do not ship templated SEO that ignores the regulatory layer, fabricated patient testimonials, or schema architectures that misapply clinical types to commercial pages. The work is meant to survive the Reviews System framework, a HIPAA review, a state medical board complaint, and the next Google core update.
About the author
I'm Yan Dobromyslov. Seven years of SEO across legal, medical, dental, real estate, finance, and e-commerce. Every research article on this site carries my byline, surfaced in Article.author JSON-LD that points to a standalone Person node. The clinical content the site links to from client engagements is authored or reviewed by appropriately credentialed practicing physicians retained by the client practice; I am a marketing professional and not a physician. Praxis is the named practice entity; the content authorship is mine.
Get in touch
Email hello@medicalseo.expert with the practice domain, the specialty mix, the location count, and a short description of the current SEO state, particularly any recent ranking decay on YMYL-evaluated content. Response inside one business day with a scope outline and a retainer band.