Organization Active NPI

Sebring Clinic

  • Family Medicine Physician
  • Wimberley, TX
National Provider Identifier
1245285832
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J7661 Issued in TX
Legal business name
SEBRING CLINIC
Practice address
16811 Ranch Road 12
Wimberley, TX 78676-6070
Phone
(512) 847-5618
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Lane Sebring, M.D.
Title
Owner/M.D.
Phone
(512) 847-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J7661 TX Primary

Addresses

Primary practice location

16811 Ranch Road 12
Wimberley, TX 78676-6070

Mailing address

16811 Ranch Road 12
Wimberley, TX 78676-6070
Phone (512) 847-5618

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0690871Sebring Clinic16811 Ranch Road 12, Wimberley, TX 78676Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sebring Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1245285832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16811 RANCH ROAD 12",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786766070",
            "telephone_number": "512-847-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16811 RANCH ROAD 12",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786766070",
            "telephone_number": "512-847-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBRING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SEBRING",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "512-847-5618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.