Active NPI
Mary Semich
- Neurology Physician
- Lindale, TX
National Provider Identifier
1851069140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 804201247
- Practice address
- 14983 Boaz LN
Lindale, TX 75771-4801 - Phone
- (903) 530-6827
- Fax
- (903) 882-7748
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 804201247 | TX | Primary |
Addresses
Primary practice location
14983 Boaz LN
Lindale, TX 75771-4801
Mailing address
14983 Boaz LN
Lindale, TX 75771-4801
Phone (972) 896-1843
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 804201247 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astrocyte Management, PLLC | Neurology | Current | Accepting new patients |
| Oversite Neuro | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Neurophysiology Physician
- Lindale, TX
- NPI 1629747753
-
- Neurology Physician
- Frisco, TX
- NPI 1710349287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1851069140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": "903-530-6827",
"fax_number": "903-882-7748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMICH",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "804201247",
"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 Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.