Sean P Therien, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03714 Issued in TX

Practice address

3851 Roger Brooke Dr
Dept of Emergency Medicine
Ft Sam Houston, TX 78234

Phone

(210) 916-0808

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment
• Geoff R Weikle DO PLLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1184298481
  Medicare reassignment
• Victoria Emergency Partners LLC

  • Emergency Medicine Physician
  • Gonzales, TX
  • NPI 1164770996
  Medicare reassignment

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1497722433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "BROOKE ARMY MEDICAL CENTER, MCHE-DEM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782346200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "DEPT OF EMERGENCY MEDICINE",
            "city": "FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-916-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIEN",
        "first_name": "SEAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deydre Smyth Teyhen, PT, PHD, OCS
• Alexander Thai, M.D.
• The Janz Corporation (Janz Medical Supply)
• Lori Michelle Thelen, MD
• Jared McKean Theler, M.D.
• Wesley Mark Theurer, DO, MBA, MPH
• Donnel Thomas, MD
• Elizabeth Thomas, LPC,LCDC
• Micah Dorjon Thomas, OTR/L
• Robin Thomas, APRN

• Physician Assistant in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.