Organization Active NPI

Timothy J. Sehorn, MD PA

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1003022989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L1457 Issued in TX
Legal business name
TIMOTHY J. SEHORN, MD PA
Practice address
6560 Fannin St Ste 1160
Houston, TX 77030-2725
Phone
(713) 790-9151
Fax
(713) 790-0927
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Holly K Diedrich
Title
Office Manager
Phone
(713) 790-9151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X L1457 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1160
Houston, TX 77030-2725

Mailing address

6560 Fannin St Ste 1160
Houston, TX 77030-2725
Phone (713) 790-9151

Other identifiers 1

IdentifierTypeStateIssuer
167989601MedicaidTX

National Provider Directory

National Provider Directory

Locations

6624 Fannin St
Ste 2400
Houston, TX 77030
Phone (713) 790-9151

7515 Main St
Ste 350
Houston, TX 77030
Phone (713) 797-9500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003022989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302725",
            "telephone_number": "713-790-9151",
            "fax_number": "713-790-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302725",
            "telephone_number": "713-790-9151",
            "fax_number": "713-790-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. SEHORN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIEDRICH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-790-9151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "L1457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167989601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.