NPIMap

Individual provider Active NPI

Jonathan Seale, MD

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1255714739
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0124 Issued in TX
Practice address
1600 Providence Dr
Waco, TX 76707-2261
Phone
(254) 313-4200
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10054659 TX
Family Medicine Physician 207Q00000X R0124 TX Primary

Addresses

Primary practice location

1600 Providence Dr
Waco, TX 76707-2261

Mailing address

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161028000976 TX Practitioner - Family PracticePractitioner - Hospitalist 7618255464 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Texas a & M University System, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill County Hospitalist Group PLLCGroup PAC ID 4385089622, 5 clinicians
Heart of Texas Community Health Center, Inc.Group PAC ID 1153370242, 106 clinicians

Practice addresses (Care Compare)

101 Circle Dr
Hillsboro, TX 76645-2670
Phone (254) 580-8500

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Fort Worth, TX, CCN 679167
  • Hill Regional Hospital Hospital, Hillsboro, TX, CCN 451395
  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Hill Regional Hospital Nursing home, CCN 45Z395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10054659TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill County Hospitalist Group PLLC CurrentSince Mar 20, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 10, 2017 Accepting new patients
Heart of Texas Community Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Concord Medical Group PLLC CurrentSince Oct 10, 2017 Accepting new patients
Heart of Texas Community Health Center, Inc. Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Nhci of Hillsboro Inc Past Accepting new patients
Heart of Texas Community Health Center, Inc Family Medicine Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1323 E Franklin St
Ste 105
Hillsboro, TX 76645
Phone (254) 582-7481

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

405 Londonderry Dr
Ste 204
Waco, TX 76712
Phone (254) 313-1500

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1255714739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767072261",
            "telephone_number": "254-313-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALE",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10054659",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.