George Herbert Seberg Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-3219 Issued in HI

Practice address

850 W Hind Dr
Ste 109
Honolulu, HI 96821-1845

Phone

(808) 373-5728

Fax

(808) 377-3432

NPI assigned

Dec 20, 2006

Last updated

Jan 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Honolulu Sports Medical Clinic, Inc.

  • Occupational Medicine Physician
  • Honolulu, HI
  • NPI 1861532426

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1245394543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 NUUANU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171714",
            "telephone_number": "808-536-3222",
            "fax_number": "808-545-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR",
            "address_2": "STE 109",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-373-5728",
            "fax_number": "808-377-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBERG",
        "first_name": "GEORGE",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-3219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "M5141-9",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045209",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Clayton Searl, OD
• Payton Newsome Seaward, MD
• Sebastian LLC
• Cecile Dalupan Sebastian, D.D.S.
• Karen Sebastian, MSPT
• Ruth Marilyn Sebok
• Jamie Sedeno, MASSAGE THERAPIST
• Lacey Segarra, RBT
• Julie Sr Segawa, LMFT
• Jacqueline Seger

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.