Active NPI
Carson Douglas Seeber, M.D.
- Family Medicine Physician
- Clarkston, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301101026
- Practice address
- 1119 Highland Ave
Suite a
Clarkston, WA 99403-2836 - Phone
- (509) 758-1450
- Fax
- (509) 751-1504
- NPI assigned
- Aug 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301101026 | MI | Primary |
Addresses
Primary practice location
1119 Highland Ave
Suite a
Clarkston, WA 99403-2836
Mailing address
PO Box 189
Clarkston, WA 99403-0189
Phone (810) 347-2842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Family Medicine | Current | Accepting new patients |
Locations
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
2841 Juniper Dr
#2
Lewiston, ID 83501
Phone (208) 848-9001
1119 Highland Ave
Clarkston, WA 99403
Phone (509) 758-1450
1119 Highland Ave
Ste A
Clarkston, WA 99403
Phone (509) 758-1450
1119 Highland Ave
Ste 10
Clarkston, WA 99403
Phone (509) 758-1450
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
Interoperability endpoints
- carson.seeber@tsmh.medicity.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1598814352
Family Medicine, ID
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
-
- Community Based Hospice Care Agency
- Clarkston, WA
- NPI 1831100254
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1861740300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994030189",
"telephone_number": "810-347-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 HIGHLAND AVE",
"address_2": "SUITE A",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032836",
"telephone_number": "509-758-1450",
"fax_number": "509-751-1504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEEBER",
"first_name": "CARSON",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301101026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.