Individual provider Active NPI

Seth Lewis Koster, D.O.

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1588906077
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3007 Issued in TX
Practice address
6600 Fish Pond Rd Ste 202a
Waco, TX 76710-2582
Phone
(254) 732-6789
Fax
(254) 732-6970
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3110 TN
Family Medicine Physician 207Q00000X S3007 TX Primary

Addresses

Primary practice location

6600 Fish Pond Rd Ste 202a
Waco, TX 76710-2582

Mailing address

6600 Fish Pond Rd Ste 202a
Waco, TX 76710-2582
Phone (254) 732-6789

Other practice location 1

185 Hospital Rd
Winchester, TN 37398-2404
Phone (931) 967-8200

Other practice location 2

1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000

Other practice location 3

1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161107000688 TN Practitioner - Family PracticePractitioner - Emergency Medicine 9032410519 Reassigns benefits to 3 organizations
I20200130000133 TX Practitioner - Family Practice 9032410519 Reassigns benefits to 7 organizations
I20250130004130 SC Practitioner - Family Practice 9032410519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3110TNMDProfessional Counselor
S3007TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Granbury Hospital-Based Professional Services CurrentSince Feb 12, 2024 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Sep 14, 2019 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Mar 1, 2017 Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Apr 17, 2019 Accepting new patients
Legacy Urgent Care, PA CurrentSince Oct 1, 2024 Accepting new patients
Brushy Creek Emergency Physicians PLLC CurrentSince May 23, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Oct 14, 2023 Accepting new patients
Afc Physicians of Tennessee, PC Family Medicine CurrentSince Sep 14, 2019 Accepting new patients
Ies Central Texas PLLC CurrentSince Jan 1, 2023 Accepting new patients
Providence Health Alliance CurrentSince Jan 1, 2020 Accepting new patients
Providence Health Alliance CurrentSince Jan 1, 2020 Accepting new patients
Spring Creek Emergency Physicians PLLC CurrentSince Apr 1, 2017 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC CurrentSince Nov 11, 2024 Accepting new patients
Lake Travis Emergency Physicians, PLLC CurrentSince Nov 4, 2020 Accepting new patients
Chattanooga Emergency Medicine PLLC Current Accepting new patients
OB Medicos, PLLC PastSince Aug 25, 2018 Accepting new patients

Locations (25 of 31)

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

3520 Cummings Hwy
Chattanooga, TN 37419
Phone (423) 822-5942

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

1000 Highway 28
Jasper, TN 37347
Phone (423) 837-9500

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Interoperability endpoints

  • Direct secure messaging: seth.koster.1@31156.direct.athenahealth.com
  • Direct secure messaging: seth.koster.1@9635.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1588906077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD STE 202A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102582",
            "telephone_number": "254-732-6789",
            "fax_number": "254-732-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD STE 202A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102582",
            "telephone_number": "254-732-6789",
            "fax_number": "254-732-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982404",
            "country_code": "US",
            "telephone_number": "931-967-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37404",
            "country_code": "US",
            "telephone_number": "423-760-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37404",
            "country_code": "US",
            "telephone_number": "423-760-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "SETH",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "3110",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.