Individual provider Active NPI

Elizabeth R Seymour, MD

  • Family Medicine Physician
  • Denton, TX
National Provider Identifier
1104968684
Registry record updated Sep 13, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N6649 Issued in TX
Practice address
3303 Colorado Blvd
Denton, TX 76210-6812
Phone
(940) 484-1887
Fax
(940) 591-0458
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25221 OK
Family Medicine Physician 207Q00000X 25221 OK
Family Medicine Physician 207Q00000X N6649 TX Primary

Addresses

Primary practice location

3303 Colorado Blvd
Denton, TX 76210-6812

Mailing address

3303 Colorado Blvd
Denton, TX 76210-6812
Phone (940) 484-1887

Other identifiers 1

IdentifierTypeStateIssuer
200177450AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25221OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Environmental Health Center Dallas CurrentSince Feb 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

8345 Walnut Hill Ln
Ste 220
Dallas, TX 75231
Phone (214) 368-4132

Interoperability endpoints

  • Direct secure messaging: elizabeth.seymour.1@6815.direct.athenahealth.com
  • Direct secure messaging: fmceseymo@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1104968684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106812",
            "telephone_number": "940-484-1887",
            "fax_number": "940-591-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106812",
            "telephone_number": "940-484-1887",
            "fax_number": "940-591-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "25221",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25221",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200177450A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.