Active NPI
Andrew Morris Sebby, DO, MPH
- Occupational Medicine Physician
- Wichita Falls, TX
National Provider Identifier
1578558136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- M2796
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M2796 | TX | MD | Occupational Medicine Physician |
Interoperability endpoints
- 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.