Philip Brian Seabolt, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03217 Issued in TX

Practice address

6807 Emmett F Lowry Expressway
Suite 108
Texas City, TX 77591

Phone

(409) 945-5444

Fax

(409) 945-4133

NPI assigned

Aug 1, 2006

Last updated

Jul 12, 2022By 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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interventional Pain Specialists PLLCGroup PAC ID 2769634799, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
• University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097
• Pam Rehabilitation Hospital of Clear Lake Inpatient rehabilitation facility, Webster, TX, CCN 673061

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbseabolt@ipsp-tx.direct.office.nextgen.com

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.

• Interventional Pain Specialists, PLLC

  dba Principle Spine and Pain

  • Specialist
  • Pasadena, TX
  • NPI 1730440785
  Medicare reassignment Care Compare group NPD
• Interventional Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1407358641
  NPD
• Baylor College of Medicine

  • Surgery Physician
  • Houston, TX
  • NPI 1225072291
  NPD (past)

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

• Chca Bayshore LP

  dba Bayshore Medical Center

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation
• Chca Clear Lake LP

  dba HCA Houston Healthcare Clear Lake

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1063466035
  Care Compare affiliation
• Clear Lake Institute for Rehabilitation LLC

  dba PAM Rehabilitation Hospital of Clear Lake

  • Rehabilitation Hospital
  • Webster, TX
  • NPI 1861882532

  Inpatient rehabilitation facility

  Care Compare affiliation
• University of Texas Medical Branch at Galveston

  dba University of Texas Medical Branch

  • General Acute Care Hospital
  • Galveston, TX
  • NPI 1548226988
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1275540700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 CRENSHAW RD",
            "address_2": "STE 130",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054615",
            "telephone_number": "281-991-2200",
            "fax_number": "281-991-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPRESSWAY",
            "address_2": "SUITE 108",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-945-5444",
            "fax_number": "409-945-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABOLT",
        "first_name": "PHILIP",
        "middle_name": "BRIAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenzie Kaye Scheets
• Elisabeth Joan Schmalstieg, M.D.
• Jamie Beth Schwaab, RBT
• Charles Keener Scruggs, D.D.S.
• Erin Kathleen Seabolt, D.C.
• Seabreeze Nursing and Rehabilitation LP
• Sean D Wengroff, MD
• Select Physical Therapy Texas Limited Partnership (Select Physical Therapy)
• Select Physical Therapy Texas Limited Partnership (Select Physical Therapy)
• Senior Connections of Texas, PLLC

• Physician Assistant in Texas City, TX
• Providers in Texas City, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.
• 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.