Active NPI
Thomas M Seaworth, MD
- Family Medicine Physician
- New York Mills, MN
National Provider Identifier
1750302972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35090
- Practice address
- 20 Centennial 84 Dr W
New York Mills, MN 56567 - Phone
- (218) 385-2555
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35090 | MN | Primary |
Addresses
Primary practice location
20 Centennial 84 Dr W
New York Mills, MN 56567
Mailing address
20 Centennial 84 Dr W
New York Mills, MN 56567
Phone (218) 385-2555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35090 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Family Medicine | Current | Accepting new patients |
Locations
105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111
1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200
Organizations & group practices 4
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.
-
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- Perham, MN
- NPI 1790799518
-
- Chiropractor
- Perham, MN
- NPI 1932113768
-
- Family Medicine Physician
- Perham, MN
- NPI 1457631814
-
- Durable Medical Equipment & Medical Supplies
- Perham, MN
- NPI 1558630012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1750302972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CENTENNIAL 84 DR W",
"city": "NEW YORK MILLS",
"state": "MN",
"postal_code": "56567",
"telephone_number": "218-385-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CENTENNIAL 84 DR W",
"city": "NEW YORK MILLS",
"state": "MN",
"postal_code": "56567",
"telephone_number": "218-385-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAWORTH",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "35090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York Mills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.