Individual provider Active NPI

Andrew Morris Sebby, DO, MPH

  • Occupational Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1578558136
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
M2796 Issued in TX
Practice address
2305 Ellingham
Wichita Falls, TX 76308-2042
Phone
(940) 761-5330
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X M2796 TX
Public Health & General Preventive Medicine Physician 2083P0901X M2796 TX
Occupational Medicine Physician 2083X0100X M2796 TX Primary

Addresses

Primary practice location

2305 Ellingham
Wichita Falls, TX 76308-2042

Mailing address

2305 Ellingham
Wichita Falls, TX 76308-2042
Phone (940) 761-5330

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
M2796TXMDOccupational Medicine Physician

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/neighborhoodallies513/r4/

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1578558136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 ELLINGHAM",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082042",
            "telephone_number": "940-761-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 ELLINGHAM",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082042",
            "telephone_number": "940-761-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBBY",
        "first_name": "ANDREW",
        "middle_name": "MORRIS",
        "credential": "DO, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "M2796",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "M2796",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "M2796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.