Active NPI
Stephen Lowell Sebert, MD
- Family Medicine Physician
- Huntington, WV
National Provider Identifier
1447291513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11618
- Practice address
- 5170 US RT 60 East
Huntington, WV 25705 - Phone
- (304) 528-4671
- Fax
- (304) 523-7358
- NPI assigned
- Jun 9, 2006
- Last updated
- Feb 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11618 | WV | Primary |
Addresses
Primary practice location
5170 US RT 60 East
Huntington, WV 25705
Mailing address
5170 US RT 60 East
Huntington, WV 25705
Phone (304) 528-4671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0750861 | Medicaid | OH | |
| 0055935000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Health Services, Inc. | Past | Accepting new patients | |
| St. Mary's Himg, LLC | Family Medicine | Past | Accepting new patients |
| Cheat Lake Urgent Care PLLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Huntington Internal Medicine Group
- Ambulatory Surgical Clinic/Center
- Proctorville, OH
- NPI 1073764379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1447291513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5170 US RT 60 EAST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25705",
"telephone_number": "304-528-4671",
"fax_number": "304-523-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 US RT 60 EAST",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25705",
"telephone_number": "304-528-4671",
"fax_number": "304-523-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBERT",
"first_name": "STEPHEN",
"middle_name": "LOWELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "11618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0750861",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0055935000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.