Sebastien Gabriel Demoiny, D.P.M.

Key facts

NPI

1043472269

Entity type

Individual (NPI type 1)

Primary specialty

Foot & Ankle Surgery Podiatrist 213ES0103X

License

703 (TN)

Practice address

420 W Morris Blvd
Suite 400D
Morristown, TN 37813-2283

Phone

(423) 586-7509

Fax

(423) 581-5701

NPI assigned

Jun 29, 2008

Sex

Male

Sole proprietor

No

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthstar Physicians, P.C. Family Medicine Physician · Morristown, TN · NPI 1184610248
  Medicare reassignment Care Compare group NPD TN
• Healthstar Physicians PC Pain Medicine (Anesthesiology) Physician · Morristown, TN · NPI 1841187648
  Care Compare group NPD
• Healthstar Physicians PC Foot & Ankle Surgery Podiatrist · Dandridge, TN · NPI 1366302663
  Care Compare group NPD (past) FOOT & ANKLE SURGERY
• Healthstar Physicians PC Internal Medicine Physician · Knoxville, TN · NPI 1033095476
  Care Compare group
• Healthstar Physicians, P.C. Family Medicine Physician · Newport, TN · NPI 1942782883
  Care Compare group
• Healthstar Physicians, PC Internal Medicine Physician · Jefferson City, TN · NPI 1205226032
  Care Compare group
• Healthstar Physicians, PC Family Medicine Physician · Dandridge, TN · NPI 1891185575
  Care Compare group
• East Tennessee Primary Care Associates Family Medicine Physician · Knoxville, TN · NPI 1134271745
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Morristown Hamblen Hospital Association General Acute Care Hospital · Morristown, TN · NPI 1912997024
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Podiatry

Education

Temple University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthstar Physicians PC (89 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morristown Hamblen Hospital Association Hospital · Morristown, TN · CCN 440030

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sebastien.demoiny.1@3525.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 9, 2024.

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1043472269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "SUITE 400D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-586-7509",
            "fax_number": "423-581-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD",
            "address_2": "SUITE 400D",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132283",
            "telephone_number": "423-586-7509",
            "fax_number": "423-581-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOINY",
        "first_name": "SEBASTIEN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "703",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005923",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DPM703",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SC005923",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520364",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sebastien.demoiny.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "420 W Morris Blvd",
            "address_2": "Suite 400D",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378132283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Morristown, TN · Foot & Ankle Surgery Podiatrist in Tennessee