Active NPI
Sean Christopher Hill, DO
- Student in an Organized Health Care Education/Training Program
- Tyler, TX
National Provider Identifier
1699478255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 11937 US Highway 271 # B-614
Tyler, TX 75708-3154 - Phone
- (903) 877-5667
- Fax
- (903) 877-8112
- NPI assigned
- Mar 23, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 1699478255 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
11937 US Highway 271 # B-614
Tyler, TX 75708-3154
Mailing address
11937 US Highway 271 # B-614
Tyler, TX 75708-3154
Phone (903) 877-5667
Other practice location 1
3417 U Of A Way
Texarkana, AR 71854-1419
Phone (870) 779-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230913003268 | AR | Order and Referring Only - Family Practice | 4486018157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1699478255 | TX | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778976000000",
"number": "1699478255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271 # B-614",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-5667",
"fax_number": "903-877-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271 # B-614",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-5667",
"fax_number": "903-877-8112"
}
],
"practiceLocations": [
{
"address_1": "3417 U Of A Way",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "AR",
"postal_code": "718541419",
"country_code": "US",
"telephone_number": "870-779-6000",
"fax_number": "870-779-6055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "SEAN",
"middle_name": "CHRISTOPHER",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-23",
"last_updated": "2026-05-17",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "1699478255",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; 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.