NPIMap

Organization Active NPI

Oversite Neuro

  • Clinical Neurophysiology Physician
  • Lindale, TX
National Provider Identifier
1629747753
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
OVERSITE NEURO
Practice address
14983 Boaz LN
Lindale, TX 75771-4801
Phone
(972) 896-1843
Fax
(214) 919-2560
NPI assigned
Sep 11, 2021
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Mary Jane Semich, CPCNPI 1851069140
Title
Owner/Ceo
Phone
(972) 896-1843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X Primary

Addresses

Primary practice location

14983 Boaz LN
Lindale, TX 75771-4801

Mailing address

PO Box 1620
Lindale, TX 75771-1620
Phone (972) 896-1843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211018000269 TX Part B Supplier - Clinic/Group Practice 5890193114 Receives reassigned benefits from 10 practitioners
Practice locations: Lindale, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1629747753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1620",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757711620",
            "telephone_number": "972-896-1843",
            "fax_number": "214-919-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14983 BOAZ LN",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757714801",
            "telephone_number": "972-896-1843",
            "fax_number": "214-919-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERSITE NEURO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "SEMICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "972-896-1843",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.